Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.98 / $85.98 / $85.98	Facility		$85.98	$85.98	$85.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $82.10 / $85.98	Professional		$57.74	$82.10	$85.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.10 / $176.90 / $202.39	Facility		$137.10	$176.90	$202.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $79.14 / $84.67	Professional		$79.14	$79.14	$84.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $106.22	Professional		$77.54	$77.54	$106.22
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $114.99 / $114.99 / $114.99	Facility		$114.99	$114.99	$114.99
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $114.99 / $145.94	Professional		$86.24	$114.99	$145.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $84.29 / $84.29	Professional		$84.29	$84.29	$84.29
United Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $65.59 / $65.59	Facility		$65.59	$65.59	$65.59
United Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $88.25 / $147.09	Professional		$63.24	$88.25	$147.09