Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.56 / $4,189.00 / $7,629.00	Facility		$261.56	$4,189.00	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.19 / $128.33 / $358.78	Facility	52	$57.19	$128.33	$358.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $139.50 / $420.00	Professional		$67.79	$139.50	$420.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $116.39 / $178.26	Professional		$66.14	$116.39	$178.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,018.57 / $1,018.57	Facility		$550.00	$1,018.57	$1,018.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $173.44 / $330.87	Professional		$104.42	$173.44	$330.87
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,340.80 / $1,643.00 / $1,677.00	Facility		$1,340.80	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $227.00 / $283.27	Professional		$125.81	$227.00	$283.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $171.67 / $186.74	Professional		$111.82	$171.67	$186.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $239.56 / $422.74	Professional		$124.53	$239.56	$422.74