Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.10 / $651.10 / $651.10	Facility		$651.10	$651.10	$651.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.45 / $632.24 / $651.10	Professional		$517.45	$632.24	$651.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.21 / $1,339.63 / $1,532.67	Facility		$1,038.21	$1,339.63	$1,532.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.62 / $663.62 / $695.33	Professional		$663.62	$663.62	$695.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $680.86	Professional		$497.03	$497.03	$680.86
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $870.76 / $870.76 / $870.76	Facility		$870.76	$870.76	$870.76
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $870.76 / $937.74 / $1,336.59	Professional		$870.76	$937.74	$1,336.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $692.27 / $692.27 / $692.27	Professional		$692.27	$692.27	$692.27
United Facility/Professional Facility Modifier Low / Median / High Price $538.75 / $538.75 / $538.75	Facility		$538.75	$538.75	$538.75
United Facility/Professional Professional Modifier Low / Median / High Price $493.58 / $668.33 / $1,113.88	Professional		$493.58	$668.33	$1,113.88