Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $204.17	Facility		$64.57	$100.00	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $645.65	Professional		$141.25	$204.17	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $426.58 / $512.86	Facility		$331.13	$426.58	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $263.03	Professional		$190.55	$199.53	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $363.08	Professional		$213.80	$295.12	$363.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $371.54	Professional		$208.93	$208.93	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $181.97	Facility		$128.82	$154.88	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $275.42	Professional		$138.04	$199.53	$275.42