Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.22 / $168.22 / $168.22	Facility		$168.22	$168.22	$168.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $168.22 / $190.25	Professional		$150.62	$168.22	$190.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.24 / $346.12 / $396.00	Facility		$268.24	$346.12	$396.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $198.35 / $202.16	Professional		$198.35	$198.35	$202.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $197.94	Professional		$144.50	$144.50	$197.94
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $224.98 / $224.98	Facility		$224.98	$224.98	$224.98
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $224.98 / $224.98 / $318.43	Professional		$224.98	$224.98	$318.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $200.81 / $200.81 / $200.81	Professional		$200.81	$200.81	$200.81
United Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $172.67 / $287.77	Professional		$131.78	$172.67	$287.77