Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $223.87	Professional		$104.71	$141.25	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $331.13 / $398.11	Facility		$257.04	$331.13	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $154.88	Professional		$147.91	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $275.42	Professional		$162.18	$223.87	$275.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $165.96	Facility		$100.00	$154.88	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $208.93	Professional		$120.23	$162.18	$208.93