Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $132.97 / $132.97	Facility		$132.97	$132.97	$132.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $138.94 / $169.30	Professional		$123.09	$138.94	$169.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.04 / $273.60 / $313.02	Facility		$212.04	$273.60	$313.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $163.91 / $174.59	Professional		$163.91	$163.91	$174.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $124.80	Professional		$124.80	$124.80	$124.80
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $177.84 / $177.84 / $177.84	Facility		$177.84	$177.84	$177.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $177.84 / $191.52 / $273.60	Professional		$177.84	$191.52	$273.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $173.82 / $173.82	Professional		$173.82	$173.82	$173.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $136.49 / $227.49	Professional		$104.17	$136.49	$227.49