Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.49 / $149.49 / $149.49	Facility		$149.49	$149.49	$149.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $149.49 / $164.91	Professional		$115.98	$149.49	$164.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.37 / $307.57 / $351.89	Facility		$238.37	$307.57	$351.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $170.08	Professional		$125.00	$125.00	$170.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $191.33	Facility		$175.81	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $175.81	Professional		$128.34	$128.34	$175.81
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $199.92 / $199.92 / $199.92	Facility		$199.92	$199.92	$199.92
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $199.92 / $261.43	Professional		$173.23	$199.92	$261.43
Health New England Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $142.16 / $165.31	Facility		$142.16	$142.16	$165.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $165.31 / $165.31 / $205.00	Professional		$165.31	$165.31	$205.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $153.44 / $296.20	Professional		$117.10	$153.44	$296.20