Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.91 / $105.91 / $105.91	Facility		$105.91	$105.91	$105.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $92.37 / $105.91	Professional		$80.04	$92.37	$105.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.89 / $217.92 / $249.32	Facility		$168.89	$217.92	$249.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $109.12 / $114.33	Professional		$109.12	$109.12	$114.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $111.95	Facility		$111.95	$111.95	$111.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $111.95	Professional		$81.72	$81.72	$111.95
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $141.65 / $141.65	Facility		$141.65	$141.65	$141.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $141.65 / $185.23	Professional		$119.55	$141.65	$185.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $115.81 / $115.81	Professional		$115.81	$115.81	$115.81
United Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $108.72 / $203.27	Professional		$82.97	$108.72	$203.27