Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.39 / $834.39 / $834.39	Facility		$834.39	$834.39	$834.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.28 / $834.39 / $1,018.20	Professional		$760.28	$834.39	$1,018.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,330.48 / $1,716.75 / $1,964.13	Facility		$1,330.48	$1,716.75	$1,964.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.81 / $1,048.81 / $1,095.53	Professional		$1,048.81	$1,048.81	$1,095.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,473.53	Professional		$1,075.68	$1,075.68	$1,473.53
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,115.89 / $1,115.89 / $1,115.89	Facility		$1,115.89	$1,115.89	$1,115.89
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,115.89 / $1,236.06 / $1,716.75	Professional		$1,115.89	$1,236.06	$1,716.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,157.71 / $1,157.71 / $1,157.71	Professional		$1,157.71	$1,157.71	$1,157.71
United Facility/Professional Professional Modifier Low / Median / High Price $653.61 / $856.46 / $1,290.43	Professional		$653.61	$856.46	$1,290.43