Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.28 / $6,079.00 / $9,637.10	Facility		$628.28	$6,079.00	$9,637.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.63 / $360.24 / $653.40	Professional		$173.63	$360.24	$653.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,098.00 / $14,528.00 / $17,206.00	Facility		$12,098.00	$14,528.00	$17,206.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $403.98 / $571.66	Professional		$187.67	$403.98	$571.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $13,223.14 / $13,223.14	Facility		$843.00	$13,223.14	$13,223.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.38 / $679.68 / $970.06	Professional		$320.38	$679.68	$970.06
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $4,302.00 / $4,390.00 / $4,645.51	Facility		$4,302.00	$4,390.00	$4,645.51
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $326.76 / $610.50 / $764.57	Professional		$326.76	$610.50	$764.57
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,476.81 / $3,476.81 / $3,476.81	Facility		$3,476.81	$3,476.81	$3,476.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $121.12 / $257.50	Professional		$121.12	$121.12	$257.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $7,843.00 / $11,880.00	Facility		$5,325.00	$7,843.00	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.49 / $747.06 / $1,161.29	Professional		$366.49	$747.06	$1,161.29