Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $3,624.19 / $7,629.00	Facility		$94.55	$3,624.19	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $63.86 / $224.58	Professional		$37.71	$63.86	$224.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,786.00 / $10,432.00	Facility		$908.00	$5,786.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $94.71 / $155.38	Professional		$43.60	$94.71	$155.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.86 / $86.86 / $550.00	Facility		$86.86	$86.86	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $95.42 / $144.41	Professional		$54.84	$95.42	$144.41
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,346.67 / $2,346.67 / $2,469.56	Facility		$2,346.67	$2,346.67	$2,469.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $86.69 / $108.57	Professional		$51.45	$86.69	$108.57
Health New England Facility/Professional Facility Modifier Low / Median / High Price $389.68 / $389.68 / $490.39	Facility		$389.68	$389.68	$490.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $52.53 / $131.59	Professional		$19.05	$52.53	$131.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $104.41 / $179.40	Professional		$56.62	$104.41	$179.40