Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,305.00 / $7,629.00 / $11,484.15	Facility		$4,305.00	$7,629.00	$11,484.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.18 / $4,455.97 / $6,390.04	Professional		$1,124.18	$4,455.97	$6,390.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.91 / $12,098.00 / $17,206.00	Facility		$782.91	$12,098.00	$17,206.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $998.00 / $998.00	Facility		$998.00	$998.00	$998.00
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $1,277.04	Facility		$500.00	$500.00	$1,277.04
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $1,434.91 / $2,257.19	Professional		$126.47	$1,434.91	$2,257.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $8,196.00 / $13,943.00	Facility		$1,194.00	$8,196.00	$13,943.00