Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $194.98	Professional		$93.33	$112.20	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $288.40	Facility		$186.21	$239.88	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $181.97	Professional		$131.83	$138.04	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $234.42	Professional		$144.54	$169.82	$234.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $144.54	Facility		$89.13	$107.15	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $165.96	Professional		$89.13	$117.49	$165.96