Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.81 / $1,069.81 / $1,069.81	Facility		$1,069.81	$1,069.81	$1,069.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.95 / $1,055.79 / $1,069.81	Professional		$875.95	$1,055.79	$1,069.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,705.85 / $2,201.10 / $2,518.28	Facility		$1,705.85	$2,201.10	$2,518.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.16 / $1,137.16 / $1,204.48	Professional		$1,137.16	$1,137.16	$1,204.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,179.41	Facility		$1,179.41	$1,179.41	$1,179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $1,179.41	Professional		$860.97	$860.97	$1,179.41
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,430.72 / $1,430.72 / $1,430.72	Facility		$1,430.72	$1,430.72	$1,430.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,430.72 / $1,540.77 / $2,201.10	Professional		$1,430.72	$1,540.77	$2,201.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,444.15 / $1,444.15 / $1,444.15	Professional		$1,444.15	$1,444.15	$1,444.15
United Facility/Professional Professional Modifier Low / Median / High Price $838.02 / $1,098.09 / $1,830.17	Professional		$838.02	$1,098.09	$1,830.17