Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.11 / $1,305.11 / $1,305.11	Facility		$1,305.11	$1,305.11	$1,305.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.43 / $1,153.24 / $1,305.11	Professional		$876.43	$1,153.24	$1,305.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,081.08 / $2,685.26 / $3,072.21	Facility		$2,081.08	$2,685.26	$3,072.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.58 / $1,226.58 / $1,285.18	Professional		$1,226.58	$1,226.58	$1,285.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,544.16	Facility		$1,544.16	$1,544.16	$1,544.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,127.24 / $1,544.16	Professional		$1,127.24	$1,127.24	$1,544.16
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,745.42 / $1,745.42 / $1,745.42	Facility		$1,745.42	$1,745.42	$1,745.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,309.07 / $1,745.42 / $2,215.35	Professional		$1,309.07	$1,745.42	$2,215.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,455.40 / $1,455.40 / $1,455.40	Professional		$1,455.40	$1,455.40	$1,455.40
United Facility/Professional Professional Modifier Low / Median / High Price $959.94 / $1,339.65 / $2,232.75	Professional		$959.94	$1,339.65	$2,232.75