Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.72 / $4,228.00 / $7,629.00	Facility		$722.72	$4,228.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $104.26 / $187.51	Professional		$38.89	$104.26	$187.51
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 $43.17 / $105.31 / $265.76	Professional		$43.17	$105.31	$265.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $135.91 / $257.24	Professional		$67.84	$135.91	$257.24
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $162.13 / $162.13	Professional		$117.32	$162.13	$162.13
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,025.67 / $1,025.67 / $1,025.67	Facility		$1,025.67	$1,025.67	$1,025.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $4,647.00 / $9,338.00	Facility		$1,849.00	$4,647.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $165.09 / $290.77	Professional		$101.02	$165.09	$290.77