Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.13 / $909.13 / $7,331.36	Facility		$909.13	$909.13	$7,331.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.80 / $1,700.60 / $16,629.80	Professional		$1,130.80	$1,700.60	$16,629.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,098.00 / $16,131.00 / $45,000.00	Facility		$12,098.00	$16,131.00	$45,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.45 / $2,733.74 / $11,572.45	Professional		$728.45	$2,733.74	$11,572.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,092.68 / $4,100.60 / $17,358.68	Professional	50	$1,092.68	$4,100.60	$17,358.68
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $4,859.82 / $4,859.82 / $6,709.14	Professional		$4,859.82	$4,859.82	$6,709.14
Health New England Facility/Professional Facility Modifier Low / Median / High Price $8,548.69 / $8,548.69 / $8,548.69	Facility		$8,548.69	$8,548.69	$8,548.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,687.50 / $1,687.50 / $1,687.50	Professional		$1,687.50	$1,687.50	$1,687.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,789.48 / $7,270.74 / $16,847.61	Professional		$3,789.48	$7,270.74	$16,847.61