Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $229.09	Facility		$109.65	$190.55	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $251.19	Professional		$77.62	$109.65	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,456.54 / $7,244.36	Facility		$6,025.60	$6,456.54	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $151.36 / $199.53	Professional		$1.00	$151.36	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $218.78	Professional		$104.71	$154.88	$218.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $223.87	Professional		$95.50	$162.18	$223.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $239.88	Professional		$107.15	$173.78	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $218.78	Professional		$93.33	$138.04	$218.78