Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $6,653.00 / $9,479.00	Facility		$902.00	$6,653.00	$9,479.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.42 / $472.67 / $1,110.83	Professional		$125.42	$472.67	$1,110.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,607.00 / $8,848.00 / $11,797.00	Facility		$4,607.00	$8,848.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $511.91 / $1,350.62	Professional		$126.93	$511.91	$1,350.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.03 / $897.34 / $1,959.88	Professional		$220.03	$897.34	$1,959.88
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $910.10 / $1,020.72 / $1,020.72	Professional		$910.10	$1,020.72	$1,020.72
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,126.30 / $1,126.30 / $1,126.30	Facility		$1,126.30	$1,126.30	$1,126.30
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 $703.86 / $1,187.68 / $1,899.83	Professional		$703.86	$1,187.68	$1,899.83