Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,862.00 / $6,343.00 / $9,637.10	Facility		$2,862.00	$6,343.00	$9,637.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $860.90 / $922.10	Professional		$383.47	$860.90	$922.10
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 $659.75 / $853.79 / $1,824.87	Professional		$659.75	$853.79	$1,824.87
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $603.23 / $603.23 / $886.96	Professional		$603.23	$603.23	$886.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,130.96 / $1,136.45 / $1,162.47	Professional		$1,130.96	$1,136.45	$1,162.47
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 $681.26 / $972.16 / $2,511.39	Professional		$681.26	$972.16	$2,511.39