Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.24 / $800.24 / $800.24	Facility		$800.24	$800.24	$800.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.10 / $719.39 / $800.24	Professional		$627.10	$719.39	$800.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.02 / $1,646.48 / $1,883.74	Facility		$1,276.02	$1,646.48	$1,883.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.01 / $871.01 / $914.02	Professional		$871.01	$871.01	$914.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Facility		$895.00	$895.00	$895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $895.00	Professional		$653.35	$653.35	$895.00
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,070.21 / $1,070.21 / $1,070.21	Facility		$1,070.21	$1,070.21	$1,070.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,024.52 / $1,070.21 / $1,450.09	Professional		$1,024.52	$1,070.21	$1,450.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $910.00 / $910.00	Professional		$910.00	$910.00	$910.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.86 / $821.41 / $1,101.13	Professional		$626.86	$821.41	$1,101.13