Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,412.54	Professional		$794.33	$933.25	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,344.23	Facility		$1,513.56	$1,949.84	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,318.26	Professional		$1,047.13	$1,122.02	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,041.74	Professional		$1,258.93	$1,412.54	$2,041.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $2,511.89	Professional		$1,380.38	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $812.83	Facility		$691.83	$691.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,445.44	Professional		$741.31	$954.99	$1,445.44