Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.32 / $3,777.17 / $7,629.00	Facility		$181.32	$3,777.17	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $174.43 / $533.54	Professional		$79.09	$174.43	$533.54
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 $91.31 / $134.35 / $207.95	Professional		$91.31	$134.35	$207.95
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 $96.82 / $151.01 / $286.08	Professional		$96.82	$151.01	$286.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $179.42 / $187.43	Professional		$152.51	$179.42	$187.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $193.53 / $193.53	Professional		$172.60	$193.53	$193.53
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 $104.88 / $165.55 / $307.08	Professional		$104.88	$165.55	$307.08