Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,090.00 / $8,860.82 / $28,531.56	Facility		$4,090.00	$8,860.82	$28,531.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,548.62 / $4,138.82	Professional		$1,291.35	$1,548.62	$4,138.82
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $49.39 / $732.68 / $1,187.11	Professional	AS	$49.39	$732.68	$1,187.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,846.00 / $11,794.00 / $52,146.00	Facility		$8,846.00	$11,794.00	$52,146.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,363.24 / $2,777.78 / $3,873.34	Professional		$1,363.24	$2,777.78	$3,873.34
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $188.49 / $392.46 / $542.26	Professional	AS	$188.49	$392.46	$542.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $39,783.76 / $39,783.76	Facility		$843.00	$39,783.76	$39,783.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.15 / $2,606.53 / $3,821.79	Professional		$1,929.15	$2,606.53	$3,821.79
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $15,642.69 / $24,037.00 / $24,527.00	Facility		$15,642.69	$24,037.00	$24,527.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,247.38 / $2,695.40 / $7,612.50	Professional		$1,247.38	$2,695.40	$7,612.50
Health New England Facility/Professional Facility Modifier Low / Median / High Price $9,433.74 / $9,433.74 / $16,428.46	Facility		$9,433.74	$9,433.74	$16,428.46
Health New England Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $2,755.13 / $4,345.67	Professional		$407.28	$2,755.13	$4,345.67
United Facility/Professional Facility Modifier Low / Median / High Price $9,292.00 / $15,275.00 / $30,199.00	Facility		$9,292.00	$15,275.00	$30,199.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.04 / $2,444.04 / $4,614.53	Professional		$1,316.04	$2,444.04	$4,614.53