Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $92.57 / $92.57	Facility		$92.57	$92.57	$92.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $91.03 / $93.16	Professional		$82.89	$91.03	$93.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $190.45 / $217.89	Facility		$147.60	$190.45	$217.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $105.27 / $111.27	Professional		$105.27	$105.27	$111.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $123.79 / $123.79 / $123.79	Facility		$123.79	$123.79	$123.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $123.79 / $175.21	Professional		$123.79	$123.79	$175.21
Health New England Facility/Professional Facility Modifier Low / Median / High Price $125.45 / $125.45 / $125.45	Facility		$125.45	$125.45	$125.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $110.51 / $110.51	Professional		$110.51	$110.51	$110.51
United Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $95.02 / $183.42	Professional		$72.91	$95.02	$183.42