Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $275.42	Professional		$131.83	$177.83	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $501.19	Facility		$323.59	$416.87	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Professional		$186.21	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $407.38	Professional		$263.03	$295.12	$407.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $138.04 / $199.53	Facility		$125.89	$138.04	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $275.42	Professional		$154.88	$204.17	$275.42