Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.95 / $259.95 / $259.95	Facility		$259.95	$259.95	$259.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.35 / $201.97 / $259.95	Professional		$196.35	$201.97	$259.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.51 / $534.85 / $611.91	Facility		$414.51	$534.85	$611.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.12 / $242.12 / $263.85	Professional		$242.12	$242.12	$263.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $273.20	Professional		$199.44	$199.44	$273.20
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $347.65 / $347.65 / $347.65	Facility		$347.65	$347.65	$347.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $301.67 / $347.65 / $454.62	Professional		$301.67	$347.65	$454.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $262.68 / $262.68	Professional		$262.68	$262.68	$262.68
United Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $266.83 / $444.71	Professional		$197.08	$266.83	$444.71