Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $4,450.00 / $8,031.00	Facility		$902.00	$4,450.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $208.15 / $471.57	Professional		$69.89	$208.15	$471.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.00 / $4,400.00 / $8,217.00	Facility		$2,613.00	$4,400.00	$8,217.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $228.44 / $605.88	Professional		$86.70	$228.44	$605.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.91 / $544.52 / $998.00	Facility		$341.91	$544.52	$998.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $253.59 / $633.41	Professional		$73.98	$253.59	$633.41
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 $299.14 / $427.78 / $546.58	Professional		$299.14	$427.78	$546.58
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $1,937.44	Facility		$1,937.44	$1,937.44	$1,937.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $121.43 / $423.06	Professional		$59.21	$121.43	$423.06
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $5,307.00 / $8,879.00	Facility		$911.00	$5,307.00	$8,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.34 / $399.75 / $1,079.07	Professional		$214.34	$399.75	$1,079.07