Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.04 / $165.04 / $165.04	Facility		$165.04	$165.04	$165.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.21 / $146.63 / $165.04	Professional		$125.21	$146.63	$165.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.16 / $339.56 / $388.49	Facility		$263.16	$339.56	$388.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $175.24 / $183.61	Professional		$175.24	$175.24	$183.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $225.30	Professional		$164.47	$164.47	$225.30
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $220.71 / $220.71 / $220.71	Facility		$220.71	$220.71	$220.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $220.71 / $288.63	Professional		$187.02	$220.71	$288.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $196.18 / $196.18 / $196.18	Professional		$196.18	$196.18	$196.18
United Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $169.40 / $282.33	Professional		$129.28	$169.40	$282.33