Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $562.34	Professional		$275.42	$371.54	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,023.29	Facility		$660.69	$851.14	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $537.03	Professional		$380.19	$398.11	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $831.76	Professional		$537.03	$602.56	$831.76
Health New England Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $416.87	Facility		$257.04	$309.03	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $562.34	Professional		$275.42	$416.87	$562.34