Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.62 / $90.62 / $90.62	Facility		$90.62	$90.62	$90.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $90.62 / $111.17	Professional		$81.14	$90.62	$111.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $186.43 / $213.29	Facility		$144.47	$186.43	$213.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $112.34 / $112.34	Professional		$108.19	$112.34	$112.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $120.81	Professional		$88.19	$88.19	$120.81
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $121.18 / $121.18	Facility		$121.18	$121.18	$121.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $121.18 / $171.52	Professional		$121.18	$121.18	$171.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $95.76 / $102.12	Facility		$95.76	$95.76	$102.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $95.76 / $95.76	Professional		$95.76	$95.76	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $93.01 / $155.02	Professional		$70.98	$93.01	$155.02