Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,943.00 / $7,629.00 / $13,387.00	Facility		$3,943.00	$7,629.00	$13,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.70 / $1,509.66 / $3,519.27	Professional		$1,213.70	$1,509.66	$3,519.27
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 $1,290.18 / $2,493.34 / $3,381.56	Professional		$1,290.18	$2,493.34	$3,381.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $2,296.86 / $2,296.86	Facility		$1,185.00	$2,296.86	$2,296.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,898.44 / $2,450.80 / $3,688.70	Professional		$1,898.44	$2,450.80	$3,688.70
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,458.67 / $2,935.00 / $2,995.00	Facility		$2,458.67	$2,935.00	$2,995.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,238.13 / $1,796.57 / $2,249.98	Professional		$1,238.13	$1,796.57	$2,249.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11,913.60 / $11,913.60 / $11,913.60	Professional		$11,913.60	$11,913.60	$11,913.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $5,307.00 / $8,879.00	Facility		$2,614.00	$5,307.00	$8,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.11 / $2,368.35 / $4,243.35	Professional		$1,263.11	$2,368.35	$4,243.35