Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.56 / $862.56 / $862.56	Facility		$862.56	$862.56	$862.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.41 / $810.91 / $1,052.56	Professional		$775.41	$810.91	$1,052.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,375.39 / $1,774.70 / $2,030.43	Facility		$1,375.39	$1,774.70	$2,030.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.21 / $1,084.21 / $1,132.51	Professional		$1,084.21	$1,084.21	$1,132.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,530.70	Facility		$1,530.70	$1,530.70	$1,530.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $1,117.41	Professional		$1,117.41	$1,117.41	$1,117.41
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,153.56 / $1,153.56 / $1,153.56	Facility		$1,153.56	$1,153.56	$1,153.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,153.56 / $1,211.20 / $1,714.31	Professional		$1,153.56	$1,211.20	$1,714.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,127.53 / $1,127.53 / $1,127.53	Professional		$1,127.53	$1,127.53	$1,127.53
United Facility/Professional Professional Modifier Low / Median / High Price $675.67 / $885.38 / $1,333.99	Professional		$675.67	$885.38	$1,333.99