Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $169.82	Professional		$75.86	$104.71	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $288.40	Facility		$186.21	$239.88	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $147.91	Professional		$107.15	$112.20	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $199.53	Professional		$117.49	$162.18	$199.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $107.15	Facility		$72.44	$87.10	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $158.49	Professional		$77.62	$112.20	$158.49