Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $208.93	Facility		$165.96	$173.78	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $87.10	Professional		$28.84	$34.67	$87.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $66.07 / $67.61 / $69.18	Professional	52	$66.07	$67.61	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $70.79	Professional		$34.67	$56.23	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $39.81	Facility		$36.31	$36.31	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $91.20	Professional		$33.11	$54.95	$91.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $134.90	Professional		$41.69	$66.07	$134.90
Health New England Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $93.33 / $93.33	Professional		$37.15	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $79.43	Professional		$30.20	$45.71	$79.43