Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $145.91 / $145.91	Facility		$145.91	$145.91	$145.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $145.91 / $150.11	Professional		$123.85	$145.91	$150.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.67 / $300.22 / $343.48	Facility		$232.67	$300.22	$343.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $156.19 / $168.92	Professional		$156.19	$156.19	$168.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $165.40	Professional		$120.74	$120.74	$165.40
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $195.14 / $195.14 / $195.14	Facility		$195.14	$195.14	$195.14
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $195.14 / $210.15 / $300.22	Professional		$195.14	$210.15	$300.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $168.18 / $168.18	Professional		$168.18	$168.18	$168.18
United Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $152.63 / $249.62	Professional		$114.30	$152.63	$249.62