Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.98 / $4,305.00 / $8,031.00	Facility		$1,669.98	$4,305.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $275.14 / $524.25	Professional		$89.87	$275.14	$524.25
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 $105.90 / $255.48 / $641.98	Professional		$105.90	$255.48	$641.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $1,577.47 / $1,816.16	Facility		$767.00	$1,577.47	$1,816.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $270.80 / $749.16	Professional		$122.37	$270.80	$749.16
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $886.65 / $1,552.85	Facility		$549.19	$886.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $363.45 / $490.79 / $733.64	Professional		$363.45	$490.79	$733.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,241.80 / $1,241.80 / $1,257.35	Facility		$1,241.80	$1,241.80	$1,257.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $177.06 / $194.04 / $243.00	Professional		$177.06	$194.04	$243.00
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 $280.31 / $497.90 / $1,296.32	Professional		$280.31	$497.90	$1,296.32