Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $213.80	Professional		$77.62	$100.00	$213.80
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 $109.65 / $114.82 / $151.36	Professional		$109.65	$114.82	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $190.55	Professional		$120.23	$138.04	$190.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $91.20	Facility		$74.13	$77.62	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $138.04	Professional		$74.13	$95.50	$138.04