Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.44 / $5,818.00 / $9,583.00	Facility		$1,362.44	$5,818.00	$9,583.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.62 / $1,195.03 / $4,591.00	Professional		$769.62	$1,195.03	$4,591.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $125.56 / $708.10 / $920.60	Professional	AS	$125.56	$708.10	$920.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $4,735.00 / $12,904.00	Facility		$3,315.00	$4,735.00	$12,904.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.99 / $1,507.10 / $2,581.98	Professional		$876.99	$1,507.10	$2,581.98
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $122.77 / $210.49 / $361.47	Professional	AS	$122.77	$210.49	$361.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.33 / $1,440.55 / $2,235.71	Professional		$932.33	$1,440.55	$2,235.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,160.81 / $1,365.66 / $1,426.63	Professional		$1,160.81	$1,365.66	$1,426.63
Health New England Facility/Professional Facility Modifier Low / Median / High Price $5,434.45 / $5,434.45 / $5,434.45	Facility		$5,434.45	$5,434.45	$5,434.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $202.95 / $3,468.75	Professional		$202.95	$202.95	$3,468.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $8,250.00 / $11,880.00	Facility		$5,325.00	$8,250.00	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.67 / $1,336.48 / $2,162.85	Professional		$946.67	$1,336.48	$2,162.85