Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $436.52	Facility		$141.25	$251.19	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $478.63	Professional		$93.33	$128.82	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $389.05	Facility		$154.88	$223.87	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $398.11	Professional		$72.44	$173.78	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $190.55 / $575.44	Facility		$93.33	$190.55	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $316.23	Professional		$95.50	$165.96	$316.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $269.15	Professional		$141.25	$190.55	$269.15
Health New England Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $251.19	Professional		$69.18	$91.20	$251.19