Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,943.00 / $8,031.00 / $13,387.00	Facility		$3,943.00	$8,031.00	$13,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,834.37 / $3,568.03 / $6,275.85	Professional		$1,834.37	$3,568.03	$6,275.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.91 / $9,678.00 / $17,206.00	Facility		$782.91	$9,678.00	$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 $54.47 / $918.52 / $954.21	Professional		$54.47	$918.52	$954.21
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
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $61.77	Professional		$50.00	$50.00	$61.77