Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.23 / $114.23 / $114.23	Facility		$114.23	$114.23	$114.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $109.07 / $114.23	Professional		$76.70	$109.07	$114.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.15 / $235.03 / $268.89	Facility		$182.15	$235.03	$268.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $107.19 / $112.48	Professional		$107.19	$107.19	$112.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Facility		$110.15	$110.15	$110.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $110.15	Professional		$80.41	$80.41	$110.15
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $152.77 / $152.77	Facility		$152.77	$152.77	$152.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $152.77 / $193.90	Professional		$114.58	$152.77	$193.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $119.62 / $119.62	Professional		$119.62	$119.62	$119.62
United Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $117.25 / $219.23	Professional		$87.94	$117.25	$219.23