Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $7,360.00 / $10,492.00	Facility		$3,522.00	$7,360.00	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.49 / $700.88 / $1,703.50	Professional		$590.49	$700.88	$1,703.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,344.00 / $12,905.00 / $17,206.00	Facility		$11,344.00	$12,905.00	$17,206.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.74 / $1,232.33 / $1,702.72	Professional		$602.74	$1,232.33	$1,702.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $9,619.46 / $9,619.46	Facility		$843.00	$9,619.46	$9,619.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.10 / $1,188.83 / $1,692.93	Professional		$901.10	$1,188.83	$1,692.93
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $4,302.00 / $4,390.00 / $4,645.51	Facility		$4,302.00	$4,390.00	$4,645.51
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $582.75 / $876.42 / $1,097.59	Professional		$582.75	$876.42	$1,097.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $5,601.50 / $5,601.50 / $5,601.50	Professional		$5,601.50	$5,601.50	$5,601.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $7,843.00 / $11,371.00	Facility		$5,325.00	$7,843.00	$11,371.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.78 / $1,174.44 / $2,053.65	Professional		$591.78	$1,174.44	$2,053.65