Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $234.42	Professional		$109.65	$169.82	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $323.59	Facility		$208.93	$269.15	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $186.21	Professional		$169.82	$181.97	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $269.15	Professional		$173.78	$194.98	$269.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $177.83	Facility		$158.49	$158.49	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $204.17	Professional		$102.33	$131.83	$204.17