Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.50 / $4,228.00 / $8,031.00	Facility		$1,489.50	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $898.52 / $898.52 / $1,170.20	Facility	54	$898.52	$898.52	$1,170.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.94 / $1,198.02 / $3,457.00	Professional		$688.94	$1,198.02	$3,457.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $133.66 / $179.70 / $308.95	Professional	55	$133.66	$179.70	$308.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $13,227.00	Facility		$5,410.00	$6,763.00	$13,227.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.31 / $1,507.18 / $1,788.20	Professional		$730.31	$1,507.18	$1,788.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.50 / $1,027.48 / $2,269.89	Professional		$663.50	$1,027.48	$2,269.89
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $583.91 / $966.19 / $1,123.02	Professional		$583.91	$966.19	$1,123.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $6,104.83 / $6,104.83 / $6,104.83	Facility		$6,104.83	$6,104.83	$6,104.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,299.44 / $1,299.44	Professional		$1,000.00	$1,299.44	$1,299.44
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 $691.74 / $917.23 / $2,306.15	Professional		$691.74	$917.23	$2,306.15