Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.16 / $290.16 / $290.16	Facility		$290.16	$290.16	$290.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.81 / $290.16 / $326.30	Professional		$259.81	$290.16	$326.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.69 / $597.02 / $683.05	Facility		$462.69	$597.02	$683.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.05 / $412.43 / $412.43	Professional		$381.05	$412.43	$412.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $388.06 / $388.06 / $388.06	Facility		$388.06	$388.06	$388.06
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $388.06 / $388.06 / $549.26	Professional		$388.06	$388.06	$549.26
Health New England Facility/Professional Facility Modifier Low / Median / High Price $393.23 / $393.23 / $393.23	Facility		$393.23	$393.23	$393.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $420.76 / $420.76 / $420.76	Professional		$420.76	$420.76	$420.76
United Facility/Professional Professional Modifier Low / Median / High Price $227.30 / $297.85 / $458.97	Professional		$227.30	$297.85	$458.97