Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,737.80	Professional		$870.96	$1,071.52	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,630.27	Facility		$1,698.24	$2,187.76	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,659.59	Professional		$1,122.02	$1,230.27	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,398.83	Professional		$1,412.54	$1,659.59	$2,398.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $1,174.90	Facility		$794.33	$954.99	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,479.11	Professional		$812.83	$1,071.52	$1,479.11