Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.72 / $925.72 / $925.72	Facility		$925.72	$925.72	$925.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.19 / $928.45 / $1,105.15	Professional		$832.19	$928.45	$1,105.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,476.10 / $1,904.64 / $2,179.10	Facility		$1,476.10	$1,904.64	$2,179.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.24 / $1,157.24 / $1,215.44	Professional		$1,157.24	$1,157.24	$1,215.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,551.30	Professional		$1,132.45	$1,132.45	$1,551.30
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,238.02 / $1,238.02 / $1,238.02	Facility		$1,238.02	$1,238.02	$1,238.02
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,238.02 / $1,371.34 / $1,904.64	Professional		$1,238.02	$1,371.34	$1,904.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,404.66 / $1,404.66 / $1,404.66	Professional		$1,404.66	$1,404.66	$1,404.66
United Facility/Professional Professional Modifier Low / Median / High Price $725.14 / $950.20 / $1,431.67	Professional		$725.14	$950.20	$1,431.67