Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $4,466.84	Professional		$2,187.76	$2,511.89	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $6,165.95	Facility		$3,890.45	$5,011.87	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $2,884.03	Professional		$2,754.23	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $5,011.87	Professional		$3,235.94	$3,548.13	$5,011.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,019.95	Facility		$1,862.09	$1,862.09	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,467.37	Professional		$1,905.46	$2,454.71	$3,467.37