Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.25 / $216.25 / $216.25	Facility		$216.25	$216.25	$216.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $194.79 / $216.25	Professional		$149.02	$194.79	$216.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.81 / $444.91 / $509.02	Facility		$344.81	$444.91	$509.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $212.94	Professional		$202.82	$202.82	$212.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $209.59	Facility		$209.59	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $209.59	Professional		$153.00	$153.00	$209.59
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $289.19 / $289.19 / $289.19	Facility		$289.19	$289.19	$289.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $256.61 / $289.19 / $378.17	Professional		$256.61	$289.19	$378.17
Health New England Facility/Professional Facility Modifier Low / Median / High Price $486.28 / $486.28 / $486.28	Facility		$486.28	$486.28	$486.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $243.14 / $243.14 / $243.14	Professional		$243.14	$243.14	$243.14
United Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $137.49 / $219.98	Facility		$137.49	$137.49	$219.98
United Facility/Professional Professional Modifier Low / Median / High Price $169.39 / $221.96 / $275.82	Professional		$169.39	$221.96	$275.82