Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.69 / $167.69 / $167.69	Facility		$167.69	$167.69	$167.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $156.65 / $167.69	Professional		$113.51	$156.65	$167.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.38 / $345.01 / $394.73	Facility		$267.38	$345.01	$394.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $157.80 / $166.45	Professional		$157.80	$157.80	$166.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $190.78	Professional		$139.27	$139.27	$190.78
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $224.26 / $224.26 / $224.26	Facility		$224.26	$224.26	$224.26
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $224.26 / $286.92	Professional		$169.55	$224.26	$286.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $175.13 / $175.13	Professional		$175.13	$175.13	$175.13
United Facility/Professional Professional Modifier Low / Median / High Price $127.41 / $172.12 / $321.81	Professional		$127.41	$172.12	$321.81