Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,463.17 / $7,360.00 / $11,611.96	Facility		$3,463.17	$7,360.00	$11,611.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.94 / $845.95 / $3,246.76	Professional		$499.94	$845.95	$3,246.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,154.00 / $11,969.00 / $16,049.80	Facility		$8,154.00	$11,969.00	$16,049.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.48 / $1,103.49 / $1,540.24	Professional		$517.48	$1,103.49	$1,540.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $4,326.79 / $4,326.79	Facility		$1,041.00	$4,326.79	$4,326.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.10 / $1,102.58 / $1,505.09	Professional		$763.10	$1,102.58	$1,505.09
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $5,587.22 / $6,864.00 / $7,003.00	Facility		$5,587.22	$6,864.00	$7,003.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $1,241.29 / $4,466.00	Professional		$493.30	$1,241.29	$4,466.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,369.39 / $4,369.39 / $15,388.32	Facility		$4,369.39	$4,369.39	$15,388.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,074.68 / $1,239.39 / $1,723.14	Professional		$1,074.68	$1,239.39	$1,723.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $8,043.00 / $11,371.00	Facility		$5,325.00	$8,043.00	$11,371.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.55 / $978.03 / $1,678.82	Professional		$501.55	$978.03	$1,678.82