Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.51 / $172.51 / $172.51	Facility		$172.51	$172.51	$172.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $172.51 / $185.22	Professional		$137.97	$172.51	$185.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.08 / $354.94 / $406.09	Facility		$275.08	$354.94	$406.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $191.22 / $202.33	Professional		$191.22	$191.22	$202.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $205.09	Professional		$149.72	$149.72	$205.09
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $230.71 / $230.71 / $230.71	Facility		$230.71	$230.71	$230.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $230.71 / $301.70	Professional		$206.08	$230.71	$301.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $217.03 / $217.03 / $217.03	Professional		$217.03	$217.03	$217.03
United Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $177.08 / $295.13	Professional		$135.13	$177.08	$295.13