Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,694.00 / $6,182.71 / $9,793.93	Facility		$3,694.00	$6,182.71	$9,793.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $204.31 / $204.31 / $205.83	Facility	53	$204.31	$204.31	$205.83
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $766.16 / $766.16 / $771.87	Facility	54	$766.16	$766.16	$771.87
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $153.22 / $153.22 / $154.37	Facility	55	$153.22	$153.22	$154.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.66 / $893.42 / $2,980.69	Professional		$348.66	$893.42	$2,980.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $379.25 / $510.78 / $761.16	Professional	52	$379.25	$510.78	$761.16
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $526.79 / $766.16 / $1,141.73	Professional	54	$526.79	$766.16	$1,141.73
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $49.00 / $153.22 / $228.35	Professional	55	$49.00	$153.22	$228.35
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 $481.98 / $1,032.52 / $1,556.01	Professional		$481.98	$1,032.52	$1,556.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $716.64 / $1,548.78 / $2,334.02	Professional	50	$716.64	$1,548.78	$2,334.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.93 / $1,005.52 / $2,015.53	Professional		$501.93	$1,005.52	$2,015.53
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $474.03 / $760.00 / $1,095.42	Professional		$474.03	$760.00	$1,095.42
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,526.21 / $1,526.21 / $1,526.21	Facility		$1,526.21	$1,526.21	$1,526.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $613.78 / $786.02 / $1,649.15	Professional		$613.78	$786.02	$1,649.15
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 $508.26 / $747.44 / $1,599.89	Professional		$508.26	$747.44	$1,599.89