Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,337.97 / $4,337.97 / $4,337.97	Facility		$4,337.97	$4,337.97	$4,337.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,507.44 / $4,134.29 / $4,465.03	Professional		$3,507.44	$4,134.29	$4,465.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,917.10 / $8,925.29 / $10,211.42	Facility		$6,917.10	$8,925.29	$10,211.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,923.92 / $4,923.92 / $5,143.27	Professional		$4,923.92	$4,923.92	$5,143.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $6,300.68	Facility		$6,300.68	$6,300.68	$6,300.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,599.50 / $6,300.68	Professional		$4,599.50	$4,599.50	$6,300.68
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $5,801.44 / $5,801.44 / $5,801.44	Facility		$5,801.44	$5,801.44	$5,801.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $5,238.84 / $5,801.44 / $7,586.50	Professional		$5,238.84	$5,801.44	$7,586.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $5,120.60 / $5,120.60 / $5,120.60	Professional		$5,120.60	$5,120.60	$5,120.60
United Facility/Professional Professional Modifier Low / Median / High Price $3,398.09 / $4,452.72 / $6,058.30	Professional		$3,398.09	$4,452.72	$6,058.30