Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,943.00 / $6,589.43 / $12,570.00	Facility		$3,943.00	$6,589.43	$12,570.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $950.34 / $950.34 / $1,056.56	Facility	54	$950.34	$950.34	$1,056.56
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $190.07 / $190.07 / $211.31	Facility	55	$190.07	$190.07	$211.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.27 / $1,208.40 / $3,807.51	Professional		$911.27	$1,208.40	$3,807.51
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $706.53 / $950.34 / $1,581.05	Professional	54	$706.53	$950.34	$1,581.05
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $141.31 / $190.07 / $316.20	Professional	55	$141.31	$190.07	$316.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,555.00 / $5,357.00 / $11,908.00	Facility		$2,555.00	$5,357.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.49 / $1,413.93 / $2,156.84	Professional		$659.49	$1,413.93	$2,156.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.40 / $1,336.88 / $2,760.08	Professional		$685.40	$1,336.88	$2,760.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $878.75 / $1,513.18	Professional		$528.00	$878.75	$1,513.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,047.57 / $1,076.76 / $1,549.50	Professional		$1,047.57	$1,076.76	$1,549.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $7,110.00 / $11,152.00	Facility		$4,565.00	$7,110.00	$11,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.97 / $1,024.95 / $2,104.90	Professional		$696.97	$1,024.95	$2,104.90