Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,168.69 / $7,079.46	Facility		$933.25	$4,168.69	$7,079.46
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $114.82 / $158.49 / $269.15	Facility	53	$114.82	$158.49	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $776.25	Professional		$165.96	$309.03	$776.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $123.03 / $218.78	Professional	53	$64.57	$123.03	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $10,471.29	Facility		$2,137.96	$3,162.28	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $575.44 / $1,174.90	Professional		$251.19	$575.44	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $102.33 / $218.78 / $426.58	Professional	53	$102.33	$218.78	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $1,258.93	Facility		$562.34	$776.25	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.54 / $147.91 / $269.15	Professional	53	$144.54	$147.91	$269.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $776.25	Professional		$467.74	$645.65	$776.25
ConnectiCare Facility/Professional Professional Modifier 53 Low / Median / High Price $234.42 / $316.23 / $389.05	Professional	53	$234.42	$316.23	$389.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $616.60	Professional		$234.42	$371.54	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,019.95 / $6,309.57	Facility		$630.96	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $794.33	Professional		$177.83	$346.74	$794.33