Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.82 / $626.82 / $626.82	Facility		$626.82	$626.82	$626.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.69 / $626.82 / $675.46	Professional		$520.69	$626.82	$675.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.49 / $1,289.67 / $1,475.51	Facility		$999.49	$1,289.67	$1,475.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.29 / $699.29 / $738.38	Professional		$699.29	$699.29	$738.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $930.44	Facility		$930.44	$930.44	$930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $930.44	Professional		$679.22	$679.22	$930.44
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $838.29 / $838.29 / $838.29	Facility		$838.29	$838.29	$838.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $838.29 / $906.25 / $1,289.67	Professional		$838.29	$906.25	$1,289.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $735.14 / $735.14 / $735.14	Professional		$735.14	$735.14	$735.14
United Facility/Professional Professional Modifier Low / Median / High Price $491.01 / $643.40 / $869.74	Professional		$491.01	$643.40	$869.74