Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.36 / $164.36 / $164.36	Facility		$164.36	$164.36	$164.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $123.58 / $164.36	Professional		$111.38	$123.58	$164.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.08 / $338.18 / $386.91	Facility		$262.08	$338.18	$386.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $155.87 / $163.32	Professional		$155.87	$155.87	$163.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $116.74	Professional		$116.74	$116.74	$116.74
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $219.82 / $219.82	Facility		$219.82	$219.82	$219.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $219.82 / $281.52	Professional		$166.35	$219.82	$281.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $165.33 / $165.33	Professional		$165.33	$165.33	$165.33
United Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $163.47 / $281.19	Professional		$127.68	$163.47	$281.19