Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $245.47	Professional		$120.23	$147.91	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $281.84 / $338.84	Facility		$218.78	$281.84	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $199.53	Professional		$162.18	$173.78	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $309.03	Professional		$177.83	$208.93	$309.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $229.09	Facility		$112.20	$134.90	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $208.93	Professional		$104.71	$138.04	$208.93