Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,258.93 / $1,258.93	Facility		$151.36	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $288.40	Professional		$131.83	$162.18	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $380.19	Facility		$245.47	$316.23	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $239.88	Professional		$169.82	$181.97	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $181.97	Facility		$177.83	$177.83	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $309.03	Professional		$199.53	$223.87	$309.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $141.25	Facility		$117.49	$117.49	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $213.80	Professional		$117.49	$154.88	$213.80