Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $707.95	Professional		$288.40	$398.11	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,000.00	Facility		$645.65	$831.76	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $426.58	Professional		$389.05	$407.38	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $831.76	Professional		$537.03	$588.84	$831.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $371.54 / $426.58	Facility		$263.03	$371.54	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $549.54	Professional		$316.23	$407.38	$549.54