Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $108.51 / $130.07	Facility		$15.79	$108.51	$130.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $130.07 / $147.11	Professional		$116.46	$130.07	$147.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.41 / $267.62 / $306.18	Facility		$207.41	$267.62	$306.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $156.31	Professional		$148.53	$148.53	$156.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $218.41	Professional		$98.55	$135.00	$218.41
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $173.95 / $173.95 / $173.95	Facility		$173.95	$173.95	$173.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $173.95 / $246.21	Professional		$173.95	$173.95	$246.21
Health New England Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $121.11 / $121.11	Facility		$121.11	$121.11	$121.11
Health New England Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $161.44 / $161.44	Professional		$161.44	$161.44	$161.44
United Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $135.66 / $222.52	Professional		$102.41	$135.66	$222.52