Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,445.44	Professional		$724.44	$912.01	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,290.87	Facility		$1,479.11	$1,905.46	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,380.38	Professional		$977.24	$1,023.29	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,862.09	Professional		$1,230.27	$1,348.96	$1,862.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $794.33	Facility		$660.69	$660.69	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,258.93	Professional		$676.08	$933.25	$1,258.93