Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $93.59 / $93.59	Facility		$93.59	$93.59	$93.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $93.59 / $102.88	Professional		$78.39	$93.59	$102.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $192.56 / $220.31	Facility		$149.22	$192.56	$220.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $109.55 / $114.96	Professional		$109.55	$109.55	$114.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $85.07	Professional		$85.07	$85.07	$85.07
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $125.16 / $125.16 / $125.16	Facility		$125.16	$125.16	$125.16
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $125.16 / $165.73	Professional		$117.09	$125.16	$165.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.92 / $112.92 / $112.92	Professional		$112.92	$112.92	$112.92
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $96.07 / $160.11	Professional		$73.31	$96.07	$160.11