Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $77.87 / $77.87	Facility		$77.87	$77.87	$77.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $60.05 / $77.87	Professional		$52.29	$60.05	$77.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.18 / $160.22 / $183.32	Facility		$124.18	$160.22	$183.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $72.28 / $76.69	Professional		$72.28	$72.28	$76.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Facility		$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $75.09	Professional		$54.82	$54.82	$75.09
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $104.15 / $104.15 / $104.15	Facility		$104.15	$104.15	$104.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $104.15 / $132.19	Professional		$78.11	$104.15	$132.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $76.34 / $76.34	Professional		$76.34	$76.34	$76.34
United Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $79.94 / $133.22	Professional		$59.95	$79.94	$133.22