Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.48 / $171.48 / $171.48	Facility		$171.48	$171.48	$171.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $171.48 / $189.00	Professional		$115.96	$171.48	$189.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.51 / $266.47 / $304.87	Facility		$206.51	$266.47	$304.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $171.26 / $180.05	Professional		$171.26	$171.26	$180.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $178.39	Professional		$130.22	$130.22	$178.39
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $173.21 / $173.21 / $173.21	Facility		$173.21	$173.21	$173.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $173.21 / $186.53 / $266.47	Professional		$173.21	$186.53	$266.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $213.64 / $213.64	Professional		$213.64	$213.64	$213.64
United Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $132.94 / $221.57	Professional		$101.45	$132.94	$221.57