Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.61 / $99.61 / $99.61	Facility		$99.61	$99.61	$99.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $97.95 / $100.23	Professional		$89.18	$97.95	$100.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $204.94 / $234.47	Facility		$158.83	$204.94	$234.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $111.51 / $119.68	Professional		$111.51	$111.51	$119.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Facility		$149.11	$149.11	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $149.11	Professional		$108.85	$108.85	$149.11
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $133.21 / $133.21 / $133.21	Facility		$133.21	$133.21	$133.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $133.21 / $188.54	Professional		$133.21	$133.21	$188.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $108.60 / $108.60	Professional		$108.60	$108.60	$108.60
United Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $102.25 / $170.41	Professional		$78.03	$102.25	$170.41