Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,280.34 / $9,085.00 / $11,464.60	Facility		$4,280.34	$9,085.00	$11,464.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $213.44 / $213.44 / $213.44	Facility	53	$213.44	$213.44	$213.44
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $800.39 / $800.39 / $800.39	Facility	54	$800.39	$800.39	$800.39
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $160.08 / $160.08 / $160.08	Facility	55	$160.08	$160.08	$160.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.21 / $1,067.19 / $1,615.07	Professional		$782.21	$1,067.19	$1,615.07
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $118.62 / $160.08 / $209.54	Professional	55	$118.62	$160.08	$209.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,920.00 / $11,936.00 / $15,915.00	Facility		$9,920.00	$11,936.00	$15,915.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.54 / $1,106.75 / $1,382.41	Professional		$560.54	$1,106.75	$1,382.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.83 / $1,110.49 / $2,422.07	Professional		$609.83	$1,110.49	$2,422.07
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $485.37 / $594.44 / $802.18	Professional		$485.37	$594.44	$802.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $960.87 / $960.87 / $987.64	Professional		$960.87	$960.87	$987.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,944.00 / $10,417.00 / $16,323.00	Facility		$5,944.00	$10,417.00	$16,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.14 / $908.65 / $1,930.10	Professional		$650.14	$908.65	$1,930.10