Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.60 / $4,450.00 / $28,125.00	Facility		$1,542.60	$4,450.00	$28,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $384.28 / $2,160.00	Professional		$230.18	$384.28	$2,160.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $27.62 / $157.60 / $411.60	Professional	AS	$27.62	$157.60	$411.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,192.00 / $39,883.00 / $47,823.37	Facility		$10,192.00	$39,883.00	$47,823.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $522.88 / $1,069.48	Professional		$257.20	$522.88	$1,069.48
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $35.83 / $73.43 / $149.72	Professional	AS	$35.83	$73.43	$149.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $843.00 / $843.00	Facility		$843.00	$843.00	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.81 / $481.34 / $692.19	Professional		$343.81	$481.34	$692.19
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $7,810.62 / $9,426.00 / $9,617.00	Facility		$7,810.62	$9,426.00	$9,617.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $328.32 / $462.59	Professional		$222.64	$328.32	$462.59
Health New England Facility/Professional Facility Modifier Low / Median / High Price $684.99 / $684.99 / $1,498.43	Facility		$684.99	$684.99	$1,498.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $210.03 / $1,501.79	Professional		$48.41	$210.03	$1,501.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $474.07 / $756.39	Professional		$230.68	$474.07	$756.39