Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.11 / $168.11 / $168.11	Facility		$168.11	$168.11	$168.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $153.10 / $168.11	Professional		$132.49	$153.10	$168.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.07 / $345.90 / $395.74	Facility		$268.07	$345.90	$395.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $169.99 / $178.02	Professional		$169.99	$169.99	$178.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $174.32	Professional		$127.25	$127.25	$174.32
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $224.84 / $224.84 / $224.84	Facility		$224.84	$224.84	$224.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $224.84 / $312.56	Professional		$220.83	$224.84	$312.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $177.24 / $177.24	Professional		$177.24	$177.24	$177.24
United Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $172.56 / $287.60	Professional		$126.37	$172.56	$287.60