Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $128.82	Facility		$83.18	$109.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $407.38	Professional		$109.65	$144.54	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $275.42 / $331.13	Facility		$213.80	$275.42	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $208.93	Professional		$147.91	$154.88	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $346.74	Facility		$134.90	$134.90	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $269.15	Professional		$173.78	$190.55	$269.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Facility		$100.00	$100.00	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $186.21	Professional		$102.33	$134.90	$186.21