Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $72.09 / $72.09	Facility		$72.09	$72.09	$72.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $72.09 / $84.85	Professional		$61.80	$72.09	$84.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.96 / $148.33 / $169.70	Facility		$114.96	$148.33	$169.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $85.06 / $90.17	Professional		$85.06	$85.06	$90.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $102.60	Professional		$74.90	$74.90	$102.60
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $96.41 / $96.41 / $96.41	Facility		$96.41	$96.41	$96.41
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $96.41 / $130.63	Professional		$92.30	$96.41	$130.63
Health New England Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $93.54 / $93.54	Facility		$93.54	$93.54	$93.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $93.54 / $93.54	Professional		$93.54	$93.54	$93.54
United Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $74.00 / $138.36	Professional		$56.47	$74.00	$138.36