Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.82 / $1,063.82 / $1,063.82	Facility		$1,063.82	$1,063.82	$1,063.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.43 / $950.16 / $1,063.82	Professional		$760.43	$950.16	$1,063.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.30 / $2,188.77 / $2,504.17	Facility		$1,696.30	$2,188.77	$2,504.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.60 / $1,062.60 / $1,115.08	Professional		$1,062.60	$1,062.60	$1,115.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,375.24	Professional		$1,003.93	$1,003.93	$1,375.24
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,422.70 / $1,422.70 / $1,422.70	Facility		$1,422.70	$1,422.70	$1,422.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,135.81 / $1,422.70 / $1,860.45	Professional		$1,135.81	$1,422.70	$1,860.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,110.18 / $1,110.18 / $1,110.18	Professional		$1,110.18	$1,110.18	$1,110.18
United Facility/Professional Professional Modifier Low / Median / High Price $833.32 / $1,091.95 / $1,394.96	Professional		$833.32	$1,091.95	$1,394.96