Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $1,851.83 / $8,690.56	Facility		$107.55	$1,851.83	$8,690.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.23 / $1,436.31 / $1,851.83	Professional		$1,284.23	$1,436.31	$1,851.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,952.82 / $3,810.09 / $4,359.12	Facility		$2,952.82	$3,810.09	$4,359.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.05 / $1,718.05 / $1,854.40	Professional		$1,718.05	$1,718.05	$1,854.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $1,815.81	Facility		$1,815.81	$1,815.81	$1,815.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,815.81	Professional		$1,325.54	$1,325.54	$1,815.81
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,476.56 / $2,476.56 / $2,476.56	Facility		$2,476.56	$2,476.56	$2,476.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,918.17 / $2,476.56 / $3,238.58	Professional		$1,918.17	$2,476.56	$3,238.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,921.55 / $1,921.55 / $1,921.55	Professional		$1,921.55	$1,921.55	$1,921.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.49 / $1,900.81 / $3,168.02	Professional		$1,419.49	$1,900.81	$3,168.02