Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,949.84	Professional		$812.83	$1,047.13	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,318.26	Professional		$1,096.48	$1,148.15	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,187.76	Professional		$1,412.54	$1,584.89	$2,187.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
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 $831.76 / $1,096.48 / $1,445.44	Professional		$831.76	$1,096.48	$1,445.44