Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $12,302.69	Facility		$4,265.80	$7,585.78	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $7,943.28 / $20,892.96	Facility	50	$3,311.31	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $2,187.76	Professional		$478.63	$676.08	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,748.98 / $13,803.84	Facility		$6,760.83	$11,748.98	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,202.26	Professional		$489.78	$758.58	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $4,365.16	Facility		$1,000.00	$2,630.27	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,659.59	Professional		$478.63	$758.58	$1,659.59
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $3,981.07	Facility		$1,023.29	$3,715.35	$3,981.07
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,023.29	Professional		$602.56	$812.83	$1,023.29
Health New England Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,606.93	Facility		$6,165.95	$6,165.95	$6,606.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,348.96	Professional		$524.81	$831.76	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,762.47 / $11,481.54	Facility		$1,047.13	$7,762.47	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,479.11	Professional		$446.68	$676.08	$1,479.11