Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.62 / $1,434.62 / $1,434.62	Facility		$1,434.62	$1,434.62	$1,434.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.39 / $1,434.62 / $1,615.62	Professional		$1,264.39	$1,434.62	$1,615.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,287.58 / $2,951.71 / $3,377.05	Facility		$2,287.58	$2,951.71	$3,377.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,806.78 / $1,806.78 / $1,806.78	Professional		$1,806.78	$1,806.78	$1,806.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $1,769.18	Facility		$1,769.18	$1,769.18	$1,769.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $1,769.18	Professional		$1,291.50	$1,291.50	$1,769.18
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,918.61 / $1,918.61 / $1,918.61	Facility		$1,918.61	$1,918.61	$1,918.61
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,918.61 / $2,022.79 / $2,863.02	Professional		$1,918.61	$2,022.79	$2,863.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,798.82 / $1,798.82 / $1,798.82	Professional		$1,798.82	$1,798.82	$1,798.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,123.79 / $1,472.57 / $2,176.64	Professional		$1,123.79	$1,472.57	$2,176.64