Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $109.76 / $131.04	Professional		$98.68	$109.76	$131.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.03 / $225.84 / $258.38	Facility		$175.03	$225.84	$258.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $134.43 / $144.12	Professional		$134.43	$134.43	$144.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $103.02	Professional		$103.02	$103.02	$103.02
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $146.80 / $146.80	Facility		$146.80	$146.80	$146.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $162.60 / $225.84	Professional		$146.80	$162.60	$225.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $143.47 / $143.47	Professional		$143.47	$143.47	$143.47
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $112.67 / $187.78	Professional		$85.98	$112.67	$187.78