Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,722.42 / $15,171.00 / $58,501.86	Facility		$4,722.42	$15,171.00	$58,501.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $323.07 / $323.07 / $552.94	Facility	53	$323.07	$323.07	$552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.62 / $1,381.87 / $3,544.19	Professional		$966.62	$1,381.87	$3,544.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,936.75 / $6,429.07 / $88,375.00	Facility		$2,936.75	$6,429.07	$88,375.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.49 / $2,272.17 / $2,657.59	Professional		$965.49	$2,272.17	$2,657.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22,020.00 / $67,616.27 / $83,259.98	Facility		$22,020.00	$67,616.27	$83,259.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.41 / $1,608.17 / $2,981.39	Professional		$1,263.41	$1,608.17	$2,981.39
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,351.81 / $1,351.81 / $1,539.13	Professional		$1,351.81	$1,351.81	$1,539.13
Health New England Facility/Professional Facility Modifier Low / Median / High Price $15,527.58 / $15,527.58 / $32,752.72	Facility		$15,527.58	$15,527.58	$32,752.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,992.90 / $2,448.66 / $3,225.00	Professional		$1,992.90	$2,448.66	$3,225.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,419.00 / $12,045.00 / $38,993.00	Facility		$7,419.00	$12,045.00	$38,993.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.46 / $1,850.78 / $3,564.11	Professional		$1,100.46	$1,850.78	$3,564.11