Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.17 / $4,305.00 / $8,031.00	Facility		$1,391.17	$4,305.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $588.83 / $1,347.19	Professional		$134.88	$588.83	$1,347.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.57 / $8,848.00 / $11,797.00	Facility		$612.57	$8,848.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $685.98 / $2,196.06	Professional		$164.52	$685.98	$2,196.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $1,121.14 / $1,290.78	Facility		$767.00	$1,121.14	$1,290.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $456.47 / $1,997.90	Professional		$186.19	$456.47	$1,997.90
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 $863.70 / $1,234.69 / $1,570.87	Professional		$863.70	$1,234.69	$1,570.87
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,562.95 / $1,562.95 / $2,761.65	Facility		$1,562.95	$1,562.95	$2,761.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $168.30 / $208.03	Professional		$113.38	$168.30	$208.03
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 $792.74 / $1,436.85 / $3,242.82	Professional		$792.74	$1,436.85	$3,242.82