Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,575.00 / $7,917.00 / $18,575.00	Facility		$3,575.00	$7,917.00	$18,575.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,728.00 / $18,000.00 / $27,000.00	Facility	50	$2,728.00	$18,000.00	$27,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $829.30 / $1,325.95	Professional		$525.09	$829.30	$1,325.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,707.69 / $12,657.00 / $19,235.00	Facility		$6,707.69	$12,657.00	$19,235.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.54 / $930.26 / $1,103.71	Professional		$630.54	$930.26	$1,103.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.79 / $769.47 / $2,083.14	Professional		$539.79	$769.47	$2,083.14
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $650.96 / $1,115.58 / $1,115.58	Professional		$650.96	$1,115.58	$1,115.58
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,638.25 / $4,638.25 / $4,638.25	Facility		$4,638.25	$4,638.25	$4,638.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,430.50 / $2,565.00 / $2,565.00	Professional		$1,430.50	$2,565.00	$2,565.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $7,010.00 / $11,152.00	Facility		$4,565.00	$7,010.00	$11,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.26 / $989.79 / $1,743.27	Professional		$513.26	$989.79	$1,743.27