Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.17 / $195.17 / $195.17	Facility		$195.17	$195.17	$195.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $143.02 / $195.17	Professional		$131.07	$143.02	$195.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.20 / $401.56 / $459.42	Facility		$311.20	$401.56	$459.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $183.43 / $192.20	Professional		$183.43	$183.43	$192.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $188.19	Professional		$137.38	$137.38	$188.19
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $261.01 / $261.01 / $261.01	Facility		$261.01	$261.01	$261.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $195.76 / $261.01 / $331.29	Professional		$195.76	$261.01	$331.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $191.34 / $191.34	Professional		$191.34	$191.34	$191.34
United Facility/Professional Professional Modifier Low / Median / High Price $150.25 / $196.80 / $333.89	Professional		$150.25	$196.80	$333.89