Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,059.33 / $11,552.85 / $31,856.00	Facility		$5,059.33	$11,552.85	$31,856.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $26,173.00 / $26,173.00 / $26,173.00	Facility	50	$26,173.00	$26,173.00	$26,173.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,526.55 / $1,526.55 / $1,831.49	Facility	54	$1,526.55	$1,526.55	$1,831.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.89 / $1,594.36 / $5,130.42	Professional		$1,137.89	$1,594.36	$5,130.42
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $199.77 / $615.65 / $1,030.03	Professional	AS	$199.77	$615.65	$1,030.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,427.20 / $29,020.33 / $38,500.00	Facility		$17,427.20	$29,020.33	$38,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,249.06 / $2,606.67 / $3,953.52	Professional		$1,249.06	$2,606.67	$3,953.52
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $172.71 / $364.93 / $553.49	Professional	AS	$172.71	$364.93	$553.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $25,359.72 / $25,800.00	Facility		$843.00	$25,359.72	$25,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.00 / $2,514.41 / $3,618.70	Professional		$1,714.00	$2,514.41	$3,618.70
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $20,670.98 / $24,037.00 / $24,527.00	Facility		$20,670.98	$24,037.00	$24,527.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,511.28 / $3,381.30 / $6,280.82	Professional		$1,511.28	$3,381.30	$6,280.82
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,277.42 / $10,818.04 / $26,191.91	Facility		$3,277.42	$10,818.04	$26,191.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $317.32 / $368.64 / $3,667.31	Professional		$317.32	$368.64	$3,667.31
United Facility/Professional Facility Modifier Low / Median / High Price $9,345.00 / $17,506.00 / $31,748.00	Facility		$9,345.00	$17,506.00	$31,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.88 / $2,261.03 / $4,082.38	Professional		$1,205.88	$2,261.03	$4,082.38