Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.24 / $946.24 / $946.24	Facility		$946.24	$946.24	$946.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.48 / $865.66 / $965.25	Professional		$818.48	$865.66	$965.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $1,946.87 / $2,227.41	Facility		$1,508.82	$1,946.87	$2,227.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.20 / $1,146.20 / $1,197.26	Professional		$1,146.20	$1,146.20	$1,197.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,576.65	Professional		$1,150.95	$1,150.95	$1,576.65
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,265.47 / $1,265.47 / $1,265.47	Facility		$1,265.47	$1,265.47	$1,265.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,222.52 / $1,265.47 / $1,730.34	Professional		$1,222.52	$1,265.47	$1,730.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,274.21 / $1,274.21 / $1,274.21	Professional		$1,274.21	$1,274.21	$1,274.21
United Facility/Professional Professional Modifier Low / Median / High Price $741.22 / $971.27 / $1,442.35	Professional		$741.22	$971.27	$1,442.35