Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,722.42 / $10,492.00 / $31,856.00	Facility		$4,722.42	$10,492.00	$31,856.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,527.41 / $1,527.41 / $1,833.89	Facility	54	$1,527.41	$1,527.41	$1,833.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $1,491.82 / $5,200.81	Professional		$1,166.59	$1,491.82	$5,200.81
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $197.38 / $371.78 / $1,053.55	Professional	AS	$197.38	$371.78	$1,053.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,521.00 / $29,343.00 / $38,500.00	Facility		$15,521.00	$29,343.00	$38,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.65 / $2,610.96 / $3,687.51	Professional		$1,256.65	$2,610.96	$3,687.51
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $173.75 / $365.53 / $516.25	Professional	AS	$173.75	$365.53	$516.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $25,680.00 / $25,889.74	Facility		$843.00	$25,680.00	$25,889.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,716.82 / $2,426.71 / $3,623.48	Professional		$1,716.82	$2,426.71	$3,623.48
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $22,905.65 / $23,349.00 / $24,111.61	Facility		$22,905.65	$23,349.00	$24,111.61
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,110.90 / $2,596.41 / $6,090.00	Professional		$1,110.90	$2,596.41	$6,090.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $10,320.19 / $10,879.51 / $22,819.77	Facility		$10,320.19	$10,879.51	$22,819.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $1,970.17 / $3,246.97	Professional		$315.89	$1,970.17	$3,246.97
United Facility/Professional Facility Modifier Low / Median / High Price $9,345.00 / $20,634.00 / $31,748.00	Facility		$9,345.00	$20,634.00	$31,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,207.48 / $2,188.56 / $3,826.13	Professional		$1,207.48	$2,188.56	$3,826.13