Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,404.91 / $7,338.28 / $9,583.07	Facility		$3,404.91	$7,338.28	$9,583.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $111.01 / $125.54 / $357.99	Facility	53	$111.01	$125.54	$357.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.94 / $1,114.82 / $1,789.93	Professional		$337.94	$1,114.82	$1,789.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,786.00 / $9,422.00 / $11,830.00	Facility		$5,786.00	$9,422.00	$11,830.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.34 / $934.48 / $2,779.64	Professional		$498.34	$934.48	$2,779.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $1,142.27 / $2,506.89	Professional		$529.26	$1,142.27	$2,506.89
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,555.02 / $1,684.47 / $7,048.64	Professional		$1,555.02	$1,684.47	$7,048.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,903.26 / $4,903.26 / $4,985.76	Facility		$4,903.26	$4,903.26	$4,985.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $677.94 / $677.94 / $677.94	Professional		$677.94	$677.94	$677.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $8,250.00 / $11,880.00	Facility		$5,325.00	$8,250.00	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,150.77 / $1,986.11 / $3,461.27	Professional		$1,150.77	$1,986.11	$3,461.27