Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,090.00 / $9,420.00 / $16,628.64	Facility		$4,090.00	$9,420.00	$16,628.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.56 / $1,816.71 / $5,594.48	Professional		$1,481.56	$1,816.71	$5,594.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,367.00 / $12,401.23 / $15,915.00	Facility		$10,367.00	$12,401.23	$15,915.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.68 / $2,246.92 / $3,233.34	Professional		$1,039.68	$2,246.92	$3,233.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.76 / $2,016.60 / $4,508.60	Professional		$1,098.76	$2,016.60	$4,508.60
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $884.50 / $1,542.75 / $2,284.81	Professional		$884.50	$1,542.75	$2,284.81
Health New England Facility/Professional Facility Modifier Low / Median / High Price $6,284.70 / $6,284.70 / $6,284.70	Facility		$6,284.70	$6,284.70	$6,284.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,660.16 / $1,666.83 / $2,648.03	Professional		$1,660.16	$1,666.83	$2,648.03
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 $1,046.15 / $1,580.87 / $3,347.59	Professional		$1,046.15	$1,580.87	$3,347.59