Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $870.96 / $5,128.61	Facility		$123.03	$870.96	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $63.10 / $128.82	Professional		$25.12	$63.10	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $11,748.98	Facility		$2,137.96	$3,162.28	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $165.96	Professional		$44.67	$72.44	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $173.78	Professional		$40.74	$87.10	$173.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $131.83	Professional		$128.82	$128.82	$131.83
Health New England Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $199.53	Facility		$134.90	$134.90	$199.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $6,760.83	Facility		$1,288.25	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $66.07 / $154.88	Professional		$28.18	$66.07	$154.88