Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $402.43 / $497.47	Facility		$88.92	$402.43	$497.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $86.77 / $263.14	Professional		$50.68	$86.77	$263.14
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 $43.46 / $86.35 / $153.87	Professional		$43.46	$86.35	$153.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $142.69 / $142.69	Facility		$50.00	$142.69	$142.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $117.60 / $200.66	Professional		$74.33	$117.60	$200.66
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 $73.67 / $122.35 / $153.22	Professional		$73.67	$122.35	$153.22
Health New England Facility/Professional Facility Modifier Low / Median / High Price $286.60 / $286.60 / $286.60	Facility		$286.60	$286.60	$286.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $76.08 / $183.07	Professional		$62.53	$76.08	$183.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,134.00 / $6,664.00	Facility		$1,380.00	$3,134.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $148.41 / $257.94	Professional		$72.22	$148.41	$257.94