Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $245.47	Professional		$114.82	$154.88	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $354.81 / $426.58	Facility		$275.42	$354.81	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $218.78	Professional		$158.49	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $295.12	Professional		$173.78	$239.88	$295.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $151.36	Facility		$107.15	$128.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $229.09	Professional		$114.82	$162.18	$229.09