Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.45 / $7,629.00 / $11,356.00	Facility		$1,708.45	$7,629.00	$11,356.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,087.48 / $1,087.48 / $1,281.33	Facility	54	$1,087.48	$1,087.48	$1,281.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $1,449.97 / $1,898.01	Professional		$216.07	$1,449.97	$1,898.01
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $161.63 / $217.50 / $354.50	Professional	55	$161.63	$217.50	$354.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,555.00 / $8,217.00 / $11,908.00	Facility		$2,555.00	$8,217.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.44 / $1,545.61 / $1,833.80	Professional		$792.44	$1,545.61	$1,833.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.99 / $1,229.41 / $2,738.94	Professional		$764.99	$1,229.41	$2,738.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $638.70 / $878.75 / $1,294.24	Professional		$638.70	$878.75	$1,294.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,201.66 / $1,201.66 / $1,429.69	Professional		$1,201.66	$1,201.66	$1,429.69
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 $806.57 / $1,110.41 / $2,551.16	Professional		$806.57	$1,110.41	$2,551.16