Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.29 / $212.38 / $379.97	Facility		$136.29	$212.38	$379.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $128.30 / $128.30	Professional		$128.30	$128.30	$128.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $206.63 / $381.21	Facility		$134.88	$206.63	$381.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Facility		$123.36	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $133.84 / $154.32	Professional		$128.02	$133.84	$154.32
Health New England Facility/Professional Facility Modifier Low / Median / High Price $408.46 / $408.46 / $408.46	Facility		$408.46	$408.46	$408.46
United Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $123.36 / $128.19	Professional		$111.02	$123.36	$128.19