Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $131.83	Professional		$61.66	$77.62	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $181.97	Facility		$117.49	$151.36	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $117.49	Professional		$85.11	$91.20	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $147.91	Professional		$93.33	$107.15	$147.91
Health New England Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $87.10	Facility		$58.88	$69.18	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $107.15	Professional		$56.23	$74.13	$107.15