Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $4,884.27 / $8,031.00	Facility		$59.83	$4,884.27	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $35.92 / $67.23	Professional		$22.16	$35.92	$67.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $43.47 / $61.86	Professional		$24.71	$43.47	$61.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.11 / $737.00	Facility		$38.11	$38.11	$737.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $59.49 / $90.84	Professional		$35.29	$59.49	$90.84
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,340.80 / $1,643.00 / $1,677.00	Facility		$1,340.80	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $58.74 / $62.83	Professional		$27.20	$58.74	$62.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $70.27 / $70.27	Professional		$70.27	$70.27	$70.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $56.75 / $95.17	Professional		$28.37	$56.75	$95.17