Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $383.17	Facility		$134.19	$134.19	$383.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $134.19 / $134.19	Professional		$130.66	$134.19	$134.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $204.00 / $416.36	Facility		$134.19	$204.00	$416.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $134.19	Professional		$134.19	$134.19	$134.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Facility		$177.04	$177.04	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $170.72 / $170.72 / $170.72	Facility		$170.72	$170.72	$170.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $160.44 / $170.72	Professional		$139.26	$160.44	$170.72
Health New England Facility/Professional Facility Modifier Low / Median / High Price $972.96 / $972.96 / $972.96	Facility		$972.96	$972.96	$972.96
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $179.42	Professional		$134.19	$134.19	$179.42