Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.11 / $4,884.27 / $8,031.00	Facility		$1,036.11	$4,884.27	$8,031.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.00 / $117.00 / $196.58	Facility	52	$117.00	$117.00	$196.58
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.80 / $78.63 / $196.33	Facility	53	$46.80	$78.63	$196.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $283.24 / $553.16	Professional		$180.09	$283.24	$553.16
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $44.25 / $90.67 / $196.33	Professional	53	$44.25	$90.67	$196.33
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 $224.66 / $394.52 / $734.48	Professional		$224.66	$394.52	$734.48
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $95.04 / $197.27 / $428.75	Professional	53	$95.04	$197.27	$428.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.82 / $1,020.00 / $3,600.16	Facility		$557.82	$1,020.00	$3,600.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.02 / $144.07 / $268.16	Professional	53	$144.02	$144.07	$268.16
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 $408.95 / $564.14 / $680.43	Professional		$408.95	$564.14	$680.43
ConnectiCare Facility/Professional Professional Modifier 53 Low / Median / High Price $204.48 / $282.07 / $340.21	Professional	53	$204.48	$282.07	$340.21
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,027.04 / $2,027.04 / $2,027.04	Facility		$2,027.04	$2,027.04	$2,027.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $373.34 / $390.60 / $566.99	Professional		$373.34	$390.60	$566.99
United Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $4,210.00 / $6,535.00	Facility		$634.00	$4,210.00	$6,535.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.89 / $516.04 / $1,206.28	Professional		$294.89	$516.04	$1,206.28