Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $190.55	Professional		$56.23	$75.86	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $169.82	Facility		$109.65	$141.25	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $107.15	Professional		$77.62	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $138.04	Professional		$89.13	$100.00	$138.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $74.13	Facility		$52.48	$63.10	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $97.72	Professional		$52.48	$69.18	$97.72