Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.72 / $4,392.95 / $7,629.00	Facility		$529.72	$4,392.95	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $374.51 / $397.29 / $446.96	Facility	54	$374.51	$397.29	$446.96
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $74.90 / $79.45 / $89.39	Facility	55	$74.90	$79.45	$89.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.17 / $499.35 / $1,389.00	Professional		$292.17	$499.35	$1,389.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,425.00 / $2,167.50 / $2,308.50	Professional	50	$1,425.00	$2,167.50	$2,308.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $278.30 / $374.51 / $629.49	Professional	54	$278.30	$374.51	$629.49
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $55.66 / $74.90 / $125.90	Professional	55	$55.66	$74.90	$125.90
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 $276.33 / $565.41 / $693.44	Professional		$276.33	$565.41	$693.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $414.51 / $848.14 / $1,040.16	Professional	50	$414.51	$848.14	$1,040.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $376.37 / $843.44	Professional		$266.97	$376.37	$843.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $237.77 / $268.13 / $459.67	Professional		$237.77	$268.13	$459.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $429.46 / $470.86 / $729.04	Professional		$429.46	$470.86	$729.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $4,647.00 / $9,338.00	Facility		$1,849.00	$4,647.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.32 / $403.73 / $959.13	Professional		$284.32	$403.73	$959.13