Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.11 / $6,343.00 / $9,479.00	Facility		$179.11	$6,343.00	$9,479.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $114.54 / $231.17	Professional		$81.31	$114.54	$231.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,920.00 / $15,054.00 / $17,658.00	Facility		$9,920.00	$15,054.00	$17,658.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $177.58 / $245.30	Professional		$115.61	$177.58	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $157.22 / $316.97	Professional		$114.41	$157.22	$316.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $152.80 / $252.45 / $252.45	Professional		$152.80	$252.45	$252.45
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,290.67 / $2,290.67 / $2,290.67	Facility		$2,290.67	$2,290.67	$2,290.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $8,250.00 / $11,880.00	Facility		$5,325.00	$8,250.00	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $195.69 / $375.38	Professional		$134.97	$195.69	$375.38