Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.28 / $786.28 / $786.28	Facility		$786.28	$786.28	$786.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.07 / $782.77 / $786.28	Professional		$626.07	$782.77	$786.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,253.76 / $1,617.75 / $1,850.87	Facility		$1,253.76	$1,617.75	$1,850.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.98 / $789.98 / $860.88	Professional		$789.98	$789.98	$860.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $842.96	Professional		$615.36	$615.36	$842.96
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,051.54 / $1,051.54 / $1,051.54	Facility		$1,051.54	$1,051.54	$1,051.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,051.54 / $1,132.43 / $1,617.75	Professional		$1,051.54	$1,132.43	$1,617.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $973.92 / $973.92 / $973.92	Professional		$973.92	$973.92	$973.92
United Facility/Professional Professional Modifier Low / Median / High Price $615.91 / $807.08 / $1,345.13	Professional		$615.91	$807.08	$1,345.13