Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.56 / $3,309.00 / $6,607.00	Facility		$717.56	$3,309.00	$6,607.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.71 / $37.28 / $104.82	Facility	53	$32.71	$37.28	$104.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $227.44 / $581.80	Professional		$91.34	$227.44	$581.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,786.00 / $7,824.00 / $11,797.00	Facility		$5,786.00	$7,824.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $194.64 / $259.70	Professional		$102.36	$194.64	$259.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $1,018.57 / $1,018.57	Facility		$843.00	$1,018.57	$1,018.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.09 / $273.33 / $601.16	Professional		$157.09	$273.33	$601.16
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 $218.32 / $348.44 / $1,488.64	Professional		$218.32	$348.44	$1,488.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,601.94 / $2,601.94 / $2,601.94	Facility		$2,601.94	$2,601.94	$2,601.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $209.81 / $670.35	Professional		$197.85	$209.81	$670.35
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 $229.79 / $429.42 / $762.06	Professional		$229.79	$429.42	$762.06