Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $162.18	Professional		$79.43	$104.71	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $269.15	Facility		$173.78	$223.87	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $131.83	Professional		$109.65	$114.82	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $204.17	Professional		$123.03	$158.49	$204.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $120.23	Facility		$74.13	$89.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $144.54	Professional		$75.86	$107.15	$144.54