Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.48 / $4,884.27 / $8,031.00	Facility		$925.48	$4,884.27	$8,031.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.50 / $116.50 / $196.08	Facility	52	$116.50	$116.50	$196.08
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.60 / $78.43 / $195.83	Facility	53	$46.60	$78.43	$195.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $282.91 / $553.16	Professional		$180.09	$282.91	$553.16
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $44.25 / $88.47 / $195.83	Professional	53	$44.25	$88.47	$195.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,395.00 / $4,998.99 / $8,848.00	Facility		$2,395.00	$4,998.99	$8,848.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.19 / $626.89 / $1,259.41	Professional		$214.19	$626.89	$1,259.41
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $94.64 / $196.85 / $427.81	Professional	53	$94.64	$196.85	$427.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.82 / $767.61 / $1,255.08	Facility		$557.82	$767.61	$1,255.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $143.54 / $143.83 / $267.63	Professional	53	$143.54	$143.83	$267.63
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $626.58 / $809.30 / $1,135.28	Facility		$626.58	$809.30	$1,135.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $408.30 / $563.49 / $679.90	Professional		$408.30	$563.49	$679.90
ConnectiCare Facility/Professional Professional Modifier 53 Low / Median / High Price $203.83 / $281.43 / $339.69	Professional	53	$203.83	$281.43	$339.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $266.98 / $402.72 / $566.02	Professional		$266.98	$402.72	$566.02
United Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $2,996.00 / $6,238.00	Facility		$634.00	$2,996.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $596.25 / $1,437.30	Professional		$305.64	$596.25	$1,437.30