Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $92.31 / $92.31	Facility		$92.31	$92.31	$92.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $90.78 / $92.91	Professional		$82.65	$90.78	$92.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $189.93 / $217.30	Facility		$147.19	$189.93	$217.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $113.80 / $113.80	Professional		$110.93	$113.80	$113.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $95.00	Professional		$94.64	$94.64	$95.00
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $123.45 / $123.45 / $123.45	Facility		$123.45	$123.45	$123.45
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $123.45 / $174.74	Professional		$123.45	$123.45	$174.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $86.57 / $86.57	Professional		$86.57	$86.57	$86.57
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $94.75 / $177.16	Professional		$72.31	$94.75	$177.16