Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $85.46 / $85.46	Facility		$85.46	$85.46	$85.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $83.70 / $92.20	Professional		$66.36	$83.70	$92.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.26 / $175.82 / $201.16	Facility		$136.26	$175.82	$201.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $96.68	Professional		$92.70	$92.70	$96.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $132.63	Professional		$96.83	$96.83	$132.63
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $114.28 / $114.28 / $114.28	Facility		$114.28	$114.28	$114.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $114.28 / $149.44	Professional		$99.12	$114.28	$149.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $128.34	Professional		$128.34	$128.34	$128.34
United Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $87.72 / $146.19	Professional		$66.94	$87.72	$146.19