Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,722.42 / $9,955.34 / $41,500.00	Facility		$4,722.42	$9,955.34	$41,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $424.71 / $424.71 / $721.38	Facility	52	$424.71	$424.71	$721.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $169.88 / $169.88 / $288.55	Facility	53	$169.88	$169.88	$288.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.00 / $849.41 / $2,216.89	Professional		$537.00	$849.41	$2,216.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.89 / $3,595.24 / $50,833.00	Facility		$1,614.89	$3,595.24	$50,833.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.75 / $1,366.73 / $1,549.11	Professional		$598.75	$1,366.73	$1,549.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,953.00 / $27,808.00 / $45,414.96	Facility		$13,953.00	$27,808.00	$45,414.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.99 / $882.92 / $1,647.50	Professional		$699.99	$882.92	$1,647.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $742.57 / $742.57 / $955.04	Professional		$742.57	$742.57	$955.04
Health New England Facility/Professional Facility Modifier Low / Median / High Price $9,598.95 / $9,598.95 / $9,598.95	Facility		$9,598.95	$9,598.95	$9,598.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,236.01 / $1,252.21 / $2,741.25	Professional		$1,236.01	$1,252.21	$2,741.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,943.00 / $13,294.00 / $39,943.00	Facility		$6,943.00	$13,294.00	$39,943.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.42 / $958.26 / $2,290.75	Professional		$647.42	$958.26	$2,290.75