Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.30 / $121.30 / $121.30	Facility		$121.30	$121.30	$121.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $130.86 / $144.82	Professional		$112.29	$130.86	$144.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.43 / $249.59 / $285.56	Facility		$193.43	$249.59	$285.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $159.28	Professional		$150.94	$150.94	$159.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $185.61	Professional		$135.50	$135.50	$185.61
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $162.22 / $162.22	Facility		$162.22	$162.22	$162.22
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $179.70 / $249.59	Professional		$162.22	$179.70	$249.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $158.57 / $158.57	Professional		$158.57	$158.57	$158.57
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $124.52 / $232.81	Professional		$97.50	$124.52	$232.81