Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.96 / $1,890.96 / $1,890.96	Facility		$1,890.96	$1,890.96	$1,890.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.86 / $1,699.91 / $1,890.96	Professional		$1,573.86	$1,699.91	$1,890.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,015.23 / $3,890.62 / $4,451.26	Facility		$3,015.23	$3,890.62	$4,451.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,148.37 / $2,148.37 / $2,205.98	Professional		$2,148.37	$2,148.37	$2,205.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $2,160.07	Professional		$1,576.85	$1,576.85	$2,160.07
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,528.90 / $2,528.90 / $2,528.90	Facility		$2,528.90	$2,528.90	$2,528.90
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,420.96 / $2,528.90 / $3,426.59	Professional		$2,420.96	$2,528.90	$3,426.59
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,270.03 / $2,270.03 / $2,270.03	Facility		$2,270.03	$2,270.03	$2,270.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $2,935.13 / $2,935.13 / $2,935.13	Professional		$2,935.13	$2,935.13	$2,935.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,481.26 / $1,940.99 / $2,657.57	Professional		$1,481.26	$1,940.99	$2,657.57