Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.03 / $194.03 / $194.03	Facility		$194.03	$194.03	$194.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $194.03 / $218.60	Professional		$174.43	$194.03	$218.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.39 / $399.21 / $456.74	Facility		$309.39	$399.21	$456.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.73 / $210.73 / $221.26	Professional		$210.73	$210.73	$221.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $232.98	Professional		$170.08	$170.08	$232.98
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $259.49 / $259.49 / $259.49	Facility		$259.49	$259.49	$259.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $259.49 / $279.45 / $399.21	Professional		$259.49	$279.45	$399.21
Health New England Facility/Professional Facility Modifier Low / Median / High Price $220.29 / $220.29 / $220.29	Facility		$220.29	$220.29	$220.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $220.29 / $220.29 / $220.29	Professional		$220.29	$220.29	$220.29
United Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $199.16 / $266.56	Professional		$151.99	$199.16	$266.56