Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $681.79 / $4,973.99	Facility		$222.25	$681.79	$4,973.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $120.65 / $451.60	Professional		$54.42	$120.65	$451.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $78.29 / $132.01	Professional		$46.58	$78.29	$132.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $124.17 / $195.48	Professional		$60.72	$124.17	$195.48
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $338.85 / $379.67	Professional		$102.52	$338.85	$379.67
Health New England Facility/Professional Facility Modifier Low / Median / High Price $191.88 / $245.05 / $334.00	Facility		$191.88	$245.05	$334.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $95.02 / $95.02	Professional		$53.65	$95.02	$95.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $136.31 / $191.28	Professional		$80.78	$136.31	$191.28