Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $4,450.00 / $8,031.00	Facility		$200.95	$4,450.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $99.45 / $163.54	Professional		$54.57	$99.45	$163.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $6,273.00 / $10,432.00	Facility		$4,734.00	$6,273.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $137.41 / $265.76	Professional		$62.69	$137.41	$265.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.93 / $159.15 / $767.00	Facility		$99.93	$159.15	$767.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $137.35 / $256.62	Professional		$72.95	$137.35	$256.62
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $626.58 / $809.30 / $1,135.28	Facility		$626.58	$809.30	$1,135.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $156.84 / $264.83	Professional		$116.14	$156.84	$264.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $165.45 / $231.01	Professional		$159.71	$165.45	$231.01
United Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $4,210.00 / $7,760.00	Facility		$634.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $162.50 / $375.95	Professional		$92.86	$162.50	$375.95