Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.99 / $4,280.34 / $8,031.00	Facility		$89.99	$4,280.34	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $61.99 / $214.97	Professional		$38.17	$61.99	$214.97
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 $48.13 / $91.21 / $142.34	Professional		$48.13	$91.21	$142.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $103.71 / $550.00	Facility		$103.71	$103.71	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $93.99 / $148.72	Professional		$63.33	$93.99	$148.72
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,643.00 / $1,677.00	Facility		$1,005.87	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $86.54 / $129.26	Professional		$56.24	$86.54	$129.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $101.03 / $136.51	Professional		$59.13	$101.03	$136.51
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 $54.81 / $102.77 / $185.08	Professional		$54.81	$102.77	$185.08