Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.61 / $173.61 / $173.61	Facility		$173.61	$173.61	$173.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $163.10 / $173.61	Professional		$143.08	$163.10	$173.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.82 / $357.19 / $408.66	Facility		$276.82	$357.19	$408.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $183.50 / $192.26	Professional		$183.50	$183.50	$192.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $218.57	Professional		$159.56	$159.56	$218.57
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $232.17 / $232.17 / $232.17	Facility		$232.17	$232.17	$232.17
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $243.60 / $344.79	Professional		$232.17	$243.60	$344.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $191.42 / $191.42	Professional		$191.42	$191.42	$191.42
United Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $178.20 / $297.00	Professional		$135.99	$178.20	$297.00