Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.53 / $4,722.42 / $7,629.00	Facility		$692.53	$4,722.42	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.60 / $471.29 / $1,154.26	Professional		$289.60	$471.29	$1,154.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,956.00	Facility		$5,410.00	$6,763.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.02 / $580.12 / $811.07	Professional		$338.02	$580.12	$811.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.00 / $1,940.64 / $1,940.64	Facility		$737.00	$1,940.64	$1,940.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $679.67 / $1,178.65	Professional		$489.60	$679.67	$1,178.65
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $4,588.00 / $4,682.00	Facility		$3,296.00	$4,588.00	$4,682.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $429.30 / $637.88 / $798.87	Professional		$429.30	$637.88	$798.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.19 / $1,349.05	Professional		$501.19	$1,047.19	$1,349.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $6,647.00 / $9,973.00	Facility		$4,565.00	$6,647.00	$9,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $873.05 / $1,492.72	Professional		$437.89	$873.05	$1,492.72