Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.33 / $4,450.00 / $8,031.00	Facility		$310.33	$4,450.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $166.76 / $398.92	Professional		$109.68	$166.76	$398.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $6,273.00 / $10,956.00	Facility		$4,734.00	$6,273.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $280.58 / $409.34	Professional		$130.50	$280.58	$409.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.25 / $250.43 / $998.00	Facility		$157.25	$250.43	$998.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.07 / $221.36 / $404.12	Professional		$139.07	$221.36	$404.12
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 $195.92 / $260.66 / $451.81	Professional		$195.92	$260.66	$451.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $315.18 / $369.61	Professional		$315.18	$315.18	$369.61
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 $142.41 / $255.00 / $675.04	Professional		$142.41	$255.00	$675.04