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 $142.84 / $311.73 / $751.52	Professional		$142.84	$311.73	$751.52
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 $142.05 / $240.68 / $519.79	Professional		$142.05	$240.68	$519.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.64 / $1,409.72 / $1,623.02	Facility		$992.64	$1,409.72	$1,623.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.85 / $304.27 / $617.73	Professional		$147.85	$304.27	$617.73
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $837.20 / $1,077.65 / $1,552.85	Facility		$837.20	$1,077.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $325.02 / $580.02	Professional		$245.10	$325.02	$580.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,611.31 / $1,611.31 / $1,611.31	Facility		$1,611.31	$1,611.31	$1,611.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.46 / $99.94 / $375.00	Professional		$97.46	$99.94	$375.00
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 $179.28 / $324.95 / $791.89	Professional		$179.28	$324.95	$791.89