Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,090.00 / $8,031.00 / $11,356.00	Facility		$4,090.00	$8,031.00	$11,356.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,000.85 / $1,000.85 / $1,000.85	Facility	54	$1,000.85	$1,000.85	$1,000.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.33 / $1,334.47 / $1,553.00	Professional		$973.33	$1,334.47	$1,553.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $148.53 / $200.17 / $262.02	Professional	55	$148.53	$200.17	$262.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,920.00 / $11,936.00 / $15,915.00	Facility		$9,920.00	$11,936.00	$15,915.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.82 / $1,386.95 / $1,730.43	Professional		$702.82	$1,386.95	$1,730.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.90 / $1,386.75 / $3,024.33	Professional		$762.90	$1,386.75	$3,024.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $605.17 / $744.89 / $999.78	Professional		$605.17	$744.89	$999.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,195.01 / $1,195.01 / $1,195.01	Professional		$1,195.01	$1,195.01	$1,195.01
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 $813.23 / $1,134.58 / $2,551.67	Professional		$813.23	$1,134.58	$2,551.67