Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.71 / $1,402.71 / $1,402.71	Facility		$1,402.71	$1,402.71	$1,402.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.36 / $1,154.03 / $1,402.71	Professional		$995.36	$1,154.03	$1,402.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,236.67 / $2,886.03 / $3,301.91	Facility		$2,236.67	$2,886.03	$3,301.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.39 / $1,339.39 / $1,459.59	Professional		$1,339.39	$1,339.39	$1,459.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,499.97	Professional		$1,094.98	$1,094.98	$1,499.97
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,875.92 / $1,875.92 / $1,875.92	Facility		$1,875.92	$1,875.92	$1,875.92
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,486.70 / $1,875.92 / $2,453.13	Professional		$1,486.70	$1,875.92	$2,453.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,453.16 / $1,453.16 / $1,453.16	Professional		$1,453.16	$1,453.16	$1,453.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.08 / $1,439.81 / $2,692.03	Professional		$1,036.08	$1,439.81	$2,692.03