Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Facility		$112.45	$112.45	$112.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $112.45 / $143.16	Professional		$100.69	$112.45	$143.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $231.38 / $264.72	Facility		$179.32	$231.38	$264.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $137.22 / $147.63	Professional		$137.22	$137.22	$147.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.23	Professional		$121.35	$121.35	$166.23
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $150.40 / $150.40 / $150.40	Facility		$150.40	$150.40	$150.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $150.40 / $212.87	Professional		$150.40	$150.40	$212.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $146.99 / $146.99	Professional		$146.99	$146.99	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $115.43 / $192.39	Professional		$88.09	$115.43	$192.39