Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.21 / $195.21 / $195.21	Facility		$195.21	$195.21	$195.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $174.78 / $195.21	Professional		$143.05	$174.78	$195.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.26 / $401.63 / $459.50	Facility		$311.26	$401.63	$459.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $183.18 / $192.23	Professional		$183.18	$183.18	$192.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $188.22	Professional		$137.40	$137.40	$188.22
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $261.06 / $261.06 / $261.06	Facility		$261.06	$261.06	$261.06
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $261.06 / $261.06 / $369.50	Professional		$261.06	$261.06	$369.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $191.38 / $191.38 / $191.38	Professional		$191.38	$191.38	$191.38
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $200.37 / $333.95	Professional		$136.44	$200.37	$333.95