Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.61 / $188.61 / $188.61	Facility		$188.61	$188.61	$188.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $140.03 / $188.61	Professional		$126.65	$140.03	$188.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.75 / $388.06 / $443.98	Facility		$300.75	$388.06	$443.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $185.73	Professional		$177.26	$177.26	$185.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $181.86	Professional		$132.76	$132.76	$181.86
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $252.24 / $252.24 / $252.24	Facility		$252.24	$252.24	$252.24
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $189.18 / $252.24 / $320.14	Professional		$189.18	$252.24	$320.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $218.61 / $218.61 / $218.61	Professional		$218.61	$218.61	$218.61
United Facility/Professional Facility Modifier Low / Median / High Price $119.92 / $119.92 / $143.90	Facility		$119.92	$119.92	$143.90
United Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $193.60 / $322.66	Professional		$138.72	$193.60	$322.66