Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $84.79 / $89.83	Professional		$63.18	$84.79	$89.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $174.45 / $199.59	Facility		$135.19	$174.45	$199.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $85.01 / $92.64	Professional		$85.01	$85.01	$92.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $100.43	Professional		$73.31	$73.31	$100.43
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $113.39 / $113.39	Facility		$113.39	$113.39	$113.39
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $113.39 / $148.28	Professional		$94.36	$113.39	$148.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $92.23 / $92.23	Professional		$92.23	$92.23	$92.23
United Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $87.03 / $145.05	Professional		$66.42	$87.03	$145.05