Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,778.28	Professional		$870.96	$1,000.00	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,454.71	Facility		$1,584.89	$2,041.74	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,348.96	Professional		$1,122.02	$1,148.15	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,995.26	Professional		$1,288.25	$1,445.44	$1,995.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,202.26	Facility		$741.31	$1,000.00	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,412.54	Professional		$758.58	$1,000.00	$1,412.54