Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $4,725.26 / $11,449.20	Facility		$1,053.85	$4,725.26	$11,449.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,053.85 / $1,053.85	Professional		$991.87	$1,053.85	$1,053.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.74 / $1,504.03 / $3,097.02	Facility		$526.74	$1,504.03	$3,097.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,053.85	Professional		$1,033.20	$1,033.20	$1,053.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,845.78 / $3,845.78 / $3,845.78	Facility		$3,845.78	$3,845.78	$3,845.78
United Facility/Professional Professional Modifier Low / Median / High Price $981.54 / $1,033.20 / $1,084.85	Professional		$981.54	$1,033.20	$1,084.85