Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $837.35	Facility		$837.35	$837.35	$837.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.20 / $800.82 / $864.88	Professional		$723.20	$800.82	$864.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.21 / $1,722.85 / $1,971.11	Facility		$1,335.21	$1,722.85	$1,971.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.19 / $1,009.19 / $1,054.14	Professional		$1,009.19	$1,009.19	$1,054.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,324.18	Facility		$1,324.18	$1,324.18	$1,324.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $966.65 / $1,324.18	Professional		$966.65	$966.65	$1,324.18
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,119.84 / $1,119.84 / $1,119.84	Facility		$1,119.84	$1,119.84	$1,119.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,080.20 / $1,119.84 / $1,528.89	Professional		$1,080.20	$1,119.84	$1,528.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,154.08 / $1,154.08 / $1,154.08	Professional		$1,154.08	$1,154.08	$1,154.08
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.93 / $859.51 / $1,261.11	Professional		$655.93	$859.51	$1,261.11