Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $113.40 / $113.40	Facility		$113.40	$113.40	$113.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $113.40 / $157.44	Professional		$101.54	$113.40	$157.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $233.30 / $266.92	Facility		$180.81	$233.30	$266.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $114.05 / $136.27	Professional		$114.05	$114.05	$136.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $153.72	Facility		$152.55	$152.55	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $152.55	Professional		$111.36	$111.36	$152.55
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $151.65 / $151.65 / $151.65	Facility		$151.65	$151.65	$151.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $151.65 / $214.64	Professional		$151.65	$151.65	$214.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $136.12 / $148.54	Facility		$111.43	$136.12	$148.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $148.54 / $148.54	Professional		$148.54	$148.54	$148.54
United Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $116.39 / $193.99	Professional		$88.82	$116.39	$193.99