Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.58 / $1,797.58 / $1,797.58	Facility		$1,797.58	$1,797.58	$1,797.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.68 / $1,578.43 / $1,797.58	Professional		$1,403.68	$1,578.43	$1,797.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,866.32 / $3,698.48 / $4,231.43	Facility		$2,866.32	$3,698.48	$4,231.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.14 / $1,929.14 / $2,015.08	Professional		$1,929.14	$1,929.14	$2,015.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,425.11	Professional		$1,770.33	$1,770.33	$2,425.11
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,404.01 / $2,404.01 / $2,404.01	Facility		$2,404.01	$2,404.01	$2,404.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,096.58 / $2,404.01 / $3,143.71	Professional		$2,096.58	$2,404.01	$3,143.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $2,114.00 / $2,114.00 / $2,114.00	Professional		$2,114.00	$2,114.00	$2,114.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,408.11 / $1,845.13 / $2,427.57	Professional		$1,408.11	$1,845.13	$2,427.57