Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $676.08	Professional		$323.59	$436.52	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,230.27	Facility		$794.33	$1,023.29	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $478.63	Professional		$457.09	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $870.96	Professional		$512.86	$707.95	$870.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $501.19	Facility		$309.03	$489.78	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $645.65	Professional		$371.54	$501.19	$645.65