Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.28 / $4,228.00 / $8,031.00	Facility		$244.28	$4,228.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $97.44 / $244.28	Professional		$26.85	$97.44	$244.28
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 $25.50 / $48.36 / $234.74	Professional		$25.50	$48.36	$234.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.25 / $68.08 / $352.12	Professional	50	$38.25	$68.08	$352.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $134.69 / $493.45	Professional		$44.20	$134.69	$493.45
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 $28.28 / $64.95 / $356.91	Professional		$28.28	$64.95	$356.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $104.50 / $145.69	Professional		$104.50	$104.50	$145.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $67.34 / $435.39	Professional		$31.04	$67.34	$435.39