Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $271.26 / $515.11	Facility		$125.32	$271.26	$515.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $62.35 / $346.00	Professional		$36.24	$62.35	$346.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $203.00	Facility		$173.00	$173.00	$203.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $70.37 / $93.78	Professional		$46.65	$70.37	$93.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $809.30 / $1,848.63 / $2,469.56	Facility		$809.30	$1,848.63	$2,469.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $89.85 / $149.19	Professional		$63.68	$89.85	$149.19
Health New England Facility/Professional Facility Modifier Low / Median / High Price $215.75 / $215.75 / $215.75	Facility		$215.75	$215.75	$215.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $102.43 / $252.36	Professional		$77.93	$102.43	$252.36
United Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $75.88 / $157.84	Professional		$41.97	$75.88	$157.84