Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.35 / $83.35 / $83.35	Facility		$83.35	$83.35	$83.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $83.35 / $91.28	Professional		$72.17	$83.35	$91.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $171.49 / $196.20	Facility		$132.90	$171.49	$196.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $88.64 / $93.22	Professional		$88.64	$88.64	$93.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $143.21	Professional		$70.61	$70.61	$143.21
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $111.47 / $111.47 / $111.47	Facility		$111.47	$111.47	$111.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $111.47 / $152.56	Professional		$107.79	$111.47	$152.56
Health New England Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $69.62 / $185.60	Facility		$69.62	$69.62	$185.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $92.80 / $221.00	Professional		$92.80	$92.80	$221.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $85.55 / $142.59	Professional		$65.29	$85.55	$142.59