Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.96 / $972.96 / $972.96	Facility		$972.96	$972.96	$972.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.66 / $1,003.68 / $1,091.94	Professional		$874.66	$1,003.68	$1,091.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.44 / $2,001.86 / $2,290.33	Facility		$1,551.44	$2,001.86	$2,290.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.98 / $1,136.98 / $1,200.91	Professional		$1,136.98	$1,136.98	$1,200.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $1,277.46	Facility		$1,277.46	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,277.46	Professional		$932.55	$932.55	$1,277.46
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,301.21 / $1,301.21 / $1,301.21	Facility		$1,301.21	$1,301.21	$1,301.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,301.21 / $1,441.34 / $2,001.86	Professional		$1,301.21	$1,441.34	$2,001.86
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,331.96 / $1,331.96 / $1,331.96	Facility		$1,331.96	$1,331.96	$1,331.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,331.96 / $1,331.96 / $1,331.96	Professional		$1,331.96	$1,331.96	$1,331.96
United Facility/Professional Professional Modifier Low / Median / High Price $762.16 / $998.71 / $1,664.51	Professional		$762.16	$998.71	$1,664.51