Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.89 / $584.47 / $5,160.00	Facility		$106.89	$584.47	$5,160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $70.78 / $192.72	Professional		$22.35	$70.78	$192.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $329.00 / $11,797.00	Facility		$250.00	$329.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $53.49 / $106.73	Professional		$21.23	$53.49	$106.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $95.60 / $271.06	Facility		$86.50	$95.60	$271.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $65.31 / $190.73	Professional		$30.15	$65.31	$190.73
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $106.14 / $110.22	Professional		$90.22	$106.14	$110.22
Health New England Facility/Professional Facility Modifier Low / Median / High Price $398.19 / $408.85 / $416.65	Facility		$398.19	$408.85	$416.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $101.25 / $112.50	Professional		$61.57	$101.25	$112.50
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 $56.85 / $91.53 / $113.09	Professional		$56.85	$91.53	$113.09