Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $467.74	Professional		$100.00	$128.82	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $288.40	Facility		$186.21	$239.88	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $181.97	Professional		$114.82	$134.90	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $154.88	Facility		$151.36	$151.36	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $234.42	Professional		$151.36	$169.82	$234.42
Health New England Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $147.91	Facility		$134.90	$134.90	$147.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Facility		$87.10	$87.10	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $162.18	Professional		$89.13	$117.49	$162.18