Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,575.00 / $7,629.00 / $12,325.00	Facility		$3,575.00	$7,629.00	$12,325.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $170.00 / $1,010.71 / $1,445.96	Facility	52	$170.00	$1,010.71	$1,445.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.00 / $86.97 / $404.28	Facility	53	$68.00	$86.97	$404.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.16 / $385.61 / $2,021.42	Professional		$271.16	$385.61	$2,021.42
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $68.00 / $100.33 / $404.28	Professional	53	$68.00	$100.33	$404.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,786.00 / $9,385.00 / $17,245.00	Facility		$5,786.00	$9,385.00	$17,245.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.18 / $680.65 / $2,009.10	Professional		$322.18	$680.65	$2,009.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.36 / $492.76 / $3,386.48	Professional		$349.36	$492.76	$3,386.48
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $557.63 / $2,088.00 / $2,092.65	Professional		$557.63	$2,088.00	$2,092.65
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,247.78 / $5,284.27 / $11,397.03	Facility		$2,247.78	$5,284.27	$11,397.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $496.03 / $511.37	Professional		$97.91	$496.03	$511.37
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 $422.76 / $2,051.35 / $6,830.49	Professional		$422.76	$2,051.35	$6,830.49