Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $4,228.00 / $7,629.00	Facility		$308.68	$4,228.00	$7,629.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.69 / $31.94 / $78.38	Facility	53	$28.69	$31.94	$78.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $210.19 / $506.32	Professional		$89.63	$210.19	$506.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,166.17 / $15,108.00 / $24,210.13	Facility		$12,166.17	$15,108.00	$24,210.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $157.27 / $211.91	Professional		$93.56	$157.27	$211.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $217.10 / $463.80	Professional		$118.96	$217.10	$463.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $306.04 / $523.38	Professional		$214.08	$306.04	$523.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $132.18 / $238.38	Professional		$127.79	$132.18	$238.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,978.00 / $6,832.00	Facility		$1,347.00	$3,978.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $357.99 / $561.37	Professional		$204.27	$357.99	$561.37