Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.79 / $4,228.00 / $8,031.00	Facility		$163.79	$4,228.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $159.12 / $269.13	Professional		$112.93	$159.12	$269.13
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 $84.92 / $190.86 / $247.47	Professional		$84.92	$190.86	$247.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $127.39 / $286.29 / $371.20	Professional	50	$127.39	$286.29	$371.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $163.40 / $265.57	Professional		$83.96	$163.40	$265.57
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $124.31 / $199.83	Professional		$75.11	$124.31	$199.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $73.80 / $73.80	Professional		$73.80	$73.80	$73.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $131.36 / $326.58	Professional		$97.10	$131.36	$326.58