Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.23 / $93.23 / $93.23	Facility		$93.23	$93.23	$93.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $93.23 / $110.26	Professional		$85.30	$93.23	$110.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.66 / $191.82 / $219.46	Facility		$148.66	$191.82	$219.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $111.78 / $117.30	Professional		$111.78	$111.78	$117.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $126.23	Professional		$92.15	$92.15	$126.23
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $124.68 / $124.68 / $124.68	Facility		$124.68	$124.68	$124.68
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $138.11 / $191.82	Professional		$124.68	$138.11	$191.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $132.54 / $132.54	Professional		$132.54	$132.54	$132.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $99.68 / $184.72	Professional		$74.93	$99.68	$184.72