Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.00 / $9,175.00 / $13,147.96	Facility		$4,570.00	$9,175.00	$13,147.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,125.74 / $9,438.00 / $19,100.14	Facility	50	$5,125.74	$9,438.00	$19,100.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.17 / $639.00 / $1,737.00	Professional		$382.17	$639.00	$1,737.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,543.00 / $13,798.00 / $19,492.00	Facility		$6,543.00	$13,798.00	$19,492.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.54 / $852.01 / $1,100.76	Professional		$396.54	$852.01	$1,100.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $6,370.47 / $7,334.38	Facility		$998.00	$6,370.47	$7,334.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.80 / $667.93 / $1,303.60	Professional		$457.80	$667.93	$1,303.60
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $1,608.60 / $5,566.55	Facility		$998.00	$1,608.60	$5,566.55
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $540.66 / $684.04 / $902.96	Professional		$540.66	$684.04	$902.96
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,285.78 / $11,459.85 / $12,562.55	Facility		$2,285.78	$11,459.85	$12,562.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $687.49 / $1,412.10	Professional		$104.99	$687.49	$1,412.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,354.00 / $9,633.00 / $17,069.00	Facility		$1,354.00	$9,633.00	$17,069.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.42 / $698.58 / $1,644.48	Professional		$385.42	$698.58	$1,644.48