Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.28 / $84.28 / $84.28	Facility		$84.28	$84.28	$84.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $84.28 / $99.46	Professional		$75.47	$84.28	$99.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $173.41 / $198.40	Facility		$134.38	$173.41	$198.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $105.61 / $110.66	Professional		$105.61	$105.61	$110.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $144.01	Professional		$105.13	$105.13	$144.01
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $112.72 / $112.72 / $112.72	Facility		$112.72	$112.72	$112.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $112.72 / $159.54	Professional		$112.72	$112.72	$159.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $110.17 / $110.17	Professional		$110.17	$110.17	$110.17
United Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $86.51 / $144.19	Professional		$66.02	$86.51	$144.19