Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.49 / $856.49 / $856.49	Facility		$856.49	$856.49	$856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.53 / $856.49 / $1,045.16	Professional		$771.53	$856.49	$1,045.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.71 / $1,762.21 / $2,016.14	Facility		$1,365.71	$1,762.21	$2,016.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.58 / $1,076.58 / $1,124.54	Professional		$1,076.58	$1,076.58	$1,124.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $1,498.90	Facility		$1,498.90	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,498.90	Professional		$1,094.20	$1,094.20	$1,498.90
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,145.44 / $1,145.44 / $1,145.44	Facility		$1,145.44	$1,145.44	$1,145.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,145.44 / $1,241.94 / $1,762.21	Professional		$1,145.44	$1,241.94	$1,762.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,353.87 / $1,353.87 / $1,353.87	Professional		$1,353.87	$1,353.87	$1,353.87
United Facility/Professional Professional Modifier Low / Median / High Price $670.92 / $879.14 / $1,324.60	Professional		$670.92	$879.14	$1,324.60