Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,137.96	Professional		$891.25	$1,096.48	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,511.89	Facility		$1,621.81	$2,089.30	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,513.56	Professional		$1,258.93	$1,318.26	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $2,041.74	Professional		$1,348.96	$1,479.11	$2,041.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,445.44	Facility		$851.14	$1,348.96	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,584.89	Professional		$776.25	$1,023.29	$1,584.89