Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $115.20 / $119.30	Professional		$83.90	$115.20	$119.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.71 / $237.04 / $271.20	Facility		$183.71	$237.04	$271.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $119.57 / $123.04	Professional		$119.57	$119.57	$123.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $100.98	Professional		$100.98	$100.98	$100.98
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $154.08 / $154.08 / $154.08	Facility		$154.08	$154.08	$154.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $154.08 / $201.48	Professional		$125.32	$154.08	$201.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
United Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $118.25 / $197.09	Professional		$87.33	$118.25	$197.09