Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $257.04 / $416.87	Facility		$104.71	$257.04	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $165.96	Professional		$54.95	$81.28	$165.96
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	CQ	$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $331.13	Facility		$154.88	$223.87	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $117.49	Professional		$63.10	$79.43	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $173.78	Professional		$69.18	$77.62	$173.78
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $134.90	Professional		$75.86	$109.65	$134.90
Health New England Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $389.05	Facility		$199.53	$269.15	$389.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $158.49	Professional		$54.95	$75.86	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $123.03	Professional		$66.07	$89.13	$123.03