Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.61 / $99.61 / $405.00	Facility		$99.61	$99.61	$405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $99.60 / $112.64	Professional		$89.18	$99.60	$112.64
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 $114.05 / $114.05 / $119.68	Professional		$114.05	$114.05	$119.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $102.59	Professional		$102.59	$102.59	$102.59
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 Facility Modifier Low / Median / High Price $59.75 / $79.65 / $99.07	Facility		$59.75	$79.65	$99.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $79.65 / $79.65	Professional		$79.65	$79.65	$79.65
United Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $102.25 / $170.41	Professional		$78.03	$102.25	$170.41