Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $84.75 / $84.75	Facility		$84.75	$84.75	$84.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $84.75 / $92.77	Professional		$78.72	$84.75	$92.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $174.38 / $199.51	Facility		$135.13	$174.38	$199.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $99.32 / $108.23	Professional		$99.32	$99.32	$108.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $120.06	Professional		$87.64	$87.64	$120.06
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $113.35 / $113.35 / $113.35	Facility		$113.35	$113.35	$113.35
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $121.23 / $171.58	Professional		$113.35	$121.23	$171.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $106.94 / $106.94	Professional		$106.94	$106.94	$106.94
United Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $86.99 / $144.99	Professional		$66.39	$86.99	$144.99