Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.40 / $93.40 / $93.40	Facility		$93.40	$93.40	$93.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $93.40 / $118.92	Professional		$83.97	$93.40	$118.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.93 / $192.17 / $219.86	Facility		$148.93	$192.17	$219.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $117.05 / $122.64	Professional		$117.05	$117.05	$122.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $90.75	Professional		$90.75	$90.75	$90.75
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $124.91 / $124.91 / $124.91	Facility		$124.91	$124.91	$124.91
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $138.36 / $192.17	Professional		$124.91	$138.36	$192.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $122.09 / $122.09	Professional		$122.09	$122.09	$122.09
United Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $95.87 / $159.79	Professional		$73.16	$95.87	$159.79