Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.75 / $251.87 / $605.24	Facility		$219.75	$251.87	$605.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $219.25 / $219.75	Professional		$170.96	$219.25	$219.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.40 / $452.13 / $517.28	Facility		$350.40	$452.13	$517.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $221.05 / $232.96	Professional		$221.05	$221.05	$232.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $233.36 / $330.06	Professional		$170.35	$233.36	$330.06
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $293.88 / $293.88 / $293.88	Facility		$293.88	$293.88	$293.88
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $293.88 / $399.52	Professional		$282.27	$293.88	$399.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $229.97 / $229.97	Professional		$229.97	$229.97	$229.97
United Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $225.56 / $421.73	Professional		$154.36	$225.56	$421.73