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 / $80.58 / $82.46	Professional		$73.36	$80.58	$82.46
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 $92.09 / $92.09 / $98.46	Professional		$92.09	$92.09	$98.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $116.46	Professional		$85.02	$85.02	$116.46
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 Professional Modifier Low / Median / High Price $102.57 / $102.57 / $102.57	Professional		$102.57	$102.57	$102.57
United Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $84.10 / $140.16	Professional		$64.18	$84.10	$140.16