Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $81.93 / $81.93	Facility		$81.93	$81.93	$81.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $81.93 / $92.65	Professional		$73.36	$81.93	$92.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $168.56 / $192.85	Facility		$130.63	$168.56	$192.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $93.03 / $98.46	Professional		$93.03	$93.03	$98.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Facility		$104.24	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $104.24	Professional		$76.09	$76.09	$104.24
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $109.56 / $109.56 / $109.56	Facility		$109.56	$109.56	$109.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $109.56 / $155.08	Professional		$109.56	$109.56	$155.08
Health New England Facility/Professional Facility Modifier Low / Median / High Price $195.56 / $195.56 / $195.56	Facility		$195.56	$195.56	$195.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $104.77 / $104.77	Professional		$104.77	$104.77	$104.77
United Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $84.10 / $140.16	Professional		$64.51	$84.10	$140.16