Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $173.78	Professional		$81.28	$97.72	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $234.42	Facility		$151.36	$194.98	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $125.89	Professional		$104.71	$112.20	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $190.55	Professional		$123.03	$138.04	$190.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $87.10	Facility		$72.44	$72.44	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $131.83	Professional		$72.44	$95.50	$131.83