Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,920.27 / $8,183.42 / $16,844.78	Facility		$3,920.27	$8,183.42	$16,844.78
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $13,567.00 / $13,567.00 / $13,567.00	Facility	22	$13,567.00	$13,567.00	$13,567.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,554.15 / $13,567.00 / $22,672.95	Facility	50	$9,554.15	$13,567.00	$22,672.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,543.00 / $13,798.00 / $18,779.68	Facility		$6,543.00	$13,798.00	$18,779.68
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
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,576.22 / $1,608.60 / $3,254.67	Facility		$1,576.22	$1,608.60	$3,254.67
Health New England Facility/Professional Facility Modifier Low / Median / High Price $15,187.87 / $15,187.87 / $15,187.87	Facility		$15,187.87	$15,187.87	$15,187.87
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