Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.56 / $200.56 / $200.56	Facility		$200.56	$200.56	$200.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $185.87 / $200.56	Professional		$134.68	$185.87	$200.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.80 / $412.64 / $472.10	Facility		$319.80	$412.64	$472.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.65 / $186.65 / $197.49	Professional		$186.65	$186.65	$197.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $216.42	Professional		$157.99	$157.99	$216.42
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $268.22 / $268.22 / $268.22	Facility		$268.22	$268.22	$268.22
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $201.16 / $268.22 / $340.43	Professional		$201.16	$268.22	$340.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $196.62 / $196.62 / $196.62	Professional		$196.62	$196.62	$196.62
United Facility/Professional Facility Modifier Low / Median / High Price $127.52 / $127.52 / $153.02	Facility		$127.52	$127.52	$153.02
United Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $202.23 / $343.10	Professional		$140.19	$202.23	$343.10