Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $143.28 / $143.28	Facility		$143.28	$143.28	$143.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $143.28 / $171.04	Professional		$128.80	$143.28	$171.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.45 / $294.77 / $337.26	Facility		$228.45	$294.77	$337.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $176.99 / $188.19	Professional		$176.99	$176.99	$188.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $190.69	Professional		$139.19	$139.19	$190.69
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $191.61 / $191.61 / $191.61	Facility		$191.61	$191.61	$191.61
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $191.61 / $212.24 / $294.77	Professional		$191.61	$212.24	$294.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $187.29 / $187.29 / $187.29	Facility		$187.29	$187.29	$187.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $187.29 / $187.29 / $187.29	Professional		$187.29	$187.29	$187.29
United Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $147.07 / $274.97	Professional		$112.23	$147.07	$274.97