Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,412.54	Professional		$660.69	$794.33	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,905.46	Facility		$1,230.27	$1,584.89	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $1,122.02	Professional		$912.01	$933.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,548.82	Professional		$1,000.00	$1,122.02	$1,548.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $707.95	Facility		$588.84	$588.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,071.52	Professional		$588.84	$776.25	$1,071.52