Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.18 / $1,379.18 / $1,379.18	Facility		$1,379.18	$1,379.18	$1,379.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.45 / $1,379.18 / $1,449.43	Professional		$1,171.45	$1,379.18	$1,449.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,199.16 / $2,837.63 / $3,246.53	Facility		$2,199.16	$2,837.63	$3,246.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,526.81 / $1,526.81 / $1,602.21	Professional		$1,526.81	$1,526.81	$1,602.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,119.51	Facility		$2,119.51	$2,119.51	$2,119.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $2,119.51	Professional		$1,547.24	$1,547.24	$2,119.51
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,844.46 / $1,844.46 / $1,844.46	Facility		$1,844.46	$1,844.46	$1,844.46
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,814.70 / $1,844.46 / $2,568.50	Professional		$1,814.70	$1,844.46	$2,568.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,945.75 / $1,945.75 / $1,945.75	Professional		$1,945.75	$1,945.75	$1,945.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.35 / $1,415.66 / $1,930.19	Professional		$1,080.35	$1,415.66	$1,930.19