Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $398.11	Professional		$173.78	$204.17	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $524.81	Facility		$331.13	$436.52	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $288.40	Professional		$204.17	$213.80	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $436.52	Professional		$275.42	$302.00	$436.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $138.04 / $169.82	Facility		$36.31	$138.04	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $281.84	Professional		$147.91	$208.93	$281.84