Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.55 / $1,062.55 / $1,062.55	Facility		$1,062.55	$1,062.55	$1,062.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.69 / $917.56 / $1,062.55	Professional		$748.69	$917.56	$1,062.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,694.27 / $2,186.16 / $2,501.19	Facility		$1,694.27	$2,186.16	$2,501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.83 / $1,047.83 / $1,097.88	Professional		$1,047.83	$1,047.83	$1,097.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,212.63	Professional		$885.22	$885.22	$1,212.63
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $1,421.00 / $1,421.00	Facility		$1,421.00	$1,421.00	$1,421.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,118.28 / $1,421.00 / $1,858.24	Professional		$1,118.28	$1,421.00	$1,858.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,238.14 / $1,238.14 / $1,238.14	Professional		$1,238.14	$1,238.14	$1,238.14
United Facility/Professional Professional Modifier Low / Median / High Price $832.33 / $1,090.65 / $1,817.75	Professional		$832.33	$1,090.65	$1,817.75