Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.66 / $4,684.00 / $12,325.00	Facility		$410.66	$4,684.00	$12,325.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.57 / $57.29 / $78.42	Facility	53	$44.57	$57.29	$78.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $280.14 / $582.21	Professional		$193.13	$280.14	$582.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,777.00 / $7,508.00 / $11,908.00	Facility		$4,777.00	$7,508.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $426.65 / $663.44	Professional		$208.47	$426.65	$663.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.52 / $341.38 / $848.01	Professional		$259.52	$341.38	$848.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $422.31 / $567.94 / $567.94	Professional		$422.31	$567.94	$567.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $162.53 / $162.53 / $162.53	Professional		$162.53	$162.53	$162.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $7,010.00 / $11,152.00	Facility		$4,565.00	$7,010.00	$11,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.14 / $637.97 / $1,832.02	Professional		$329.14	$637.97	$1,832.02