Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $157.97 / $157.97	Facility		$157.97	$157.97	$157.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $124.80 / $157.97	Professional		$106.08	$124.80	$157.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.88 / $325.01 / $371.84	Facility		$251.88	$325.01	$371.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $148.22 / $155.55	Professional		$148.22	$148.22	$155.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $184.91	Facility		$184.91	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $184.91	Professional		$134.97	$134.97	$184.91
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $211.26 / $211.26 / $211.26	Facility		$211.26	$211.26	$211.26
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $211.26 / $268.14	Professional		$158.44	$211.26	$268.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $154.87 / $154.87	Professional		$154.87	$154.87	$154.87
United Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $162.13 / $201.49	Professional		$123.74	$162.13	$201.49