Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.75 / $218.75 / $218.75	Facility		$218.75	$218.75	$218.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $169.60 / $218.75	Professional		$154.81	$169.60	$218.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.80 / $450.07 / $514.92	Facility		$348.80	$450.07	$514.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.69 / $214.69 / $215.41	Professional		$214.69	$214.69	$215.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $271.68	Professional		$198.33	$198.33	$271.68
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $292.55 / $292.55	Facility		$292.55	$292.55	$292.55
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $231.24 / $292.55 / $382.56	Professional		$231.24	$292.55	$382.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $228.26 / $228.26	Professional		$228.26	$228.26	$228.26
United Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $224.54 / $279.02	Professional		$171.36	$224.54	$279.02