Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $4,228.00 / $8,031.00	Facility		$902.00	$4,228.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $1,474.93 / $2,425.88	Professional		$68.90	$1,474.93	$2,425.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.00 / $8,931.00 / $11,908.00	Facility		$8,217.00	$8,931.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $152.02 / $1,495.05	Professional		$44.70	$152.02	$1,495.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.00 / $224.66 / $2,124.54	Professional	50	$57.00	$224.66	$2,124.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $1,230.45 / $3,423.36	Professional		$61.51	$1,230.45	$3,423.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $921.39 / $1,531.19 / $2,490.23	Professional		$921.39	$1,531.19	$2,490.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,546.48 / $1,546.48 / $1,546.48	Professional		$1,546.48	$1,546.48	$1,546.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,414.00 / $5,950.00 / $9,338.00	Facility		$3,414.00	$5,950.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.49 / $1,755.17 / $3,510.34	Professional		$1,276.49	$1,755.17	$3,510.34