Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $196.01 / $196.01	Facility		$196.01	$196.01	$196.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $196.01 / $235.56	Professional		$175.51	$196.01	$235.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.55 / $403.29 / $461.40	Facility		$312.55	$403.29	$461.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.35 / $321.33 / $321.33	Professional		$257.35	$321.33	$321.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $260.88	Professional		$190.44	$190.44	$260.88
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $262.14 / $262.14 / $262.14	Facility		$262.14	$262.14	$262.14
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $262.14 / $371.03	Professional		$262.14	$262.14	$371.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $284.02 / $284.02	Professional		$284.02	$284.02	$284.02
United Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $201.20 / $303.14	Professional		$153.54	$201.20	$303.14