Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $85.69 / $85.69	Facility		$85.69	$85.69	$85.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.69 / $109.08	Professional		$77.62	$85.69	$109.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.62 / $176.29 / $201.69	Facility		$136.62	$176.29	$201.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $107.22 / $112.51	Professional		$107.22	$107.22	$112.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $110.16	Professional		$80.42	$80.42	$110.16
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $114.59 / $114.59 / $114.59	Facility		$114.59	$114.59	$114.59
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $126.93 / $176.29	Professional		$114.59	$126.93	$176.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Professional		$112.00	$112.00	$112.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $87.95 / $146.59	Professional		$67.12	$87.95	$146.59