Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,090.00 / $9,122.00 / $18,588.59	Facility		$4,090.00	$9,122.00	$18,588.59
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,415.24 / $1,415.24 / $1,661.76	Facility	54	$1,415.24	$1,415.24	$1,661.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.43 / $1,886.99 / $3,909.00	Professional		$1,281.43	$1,886.99	$3,909.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,936.00 / $19,440.00 / $24,206.00	Facility		$11,936.00	$19,440.00	$24,206.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.69 / $2,003.56 / $2,393.23	Professional		$946.69	$2,003.56	$2,393.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.96 / $1,528.62 / $3,564.10	Professional		$1,031.96	$1,528.62	$3,564.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $836.89 / $1,382.70 / $1,727.77	Professional		$836.89	$1,382.70	$1,727.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,658.77 / $1,658.77 / $1,704.99	Professional		$1,658.77	$1,658.77	$1,704.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,944.00 / $10,417.00 / $16,323.00	Facility		$5,944.00	$10,417.00	$16,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.04 / $1,420.43 / $3,325.70	Professional		$1,033.04	$1,420.43	$3,325.70