Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $109.42 / $109.42	Facility		$109.42	$109.42	$109.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $127.12 / $133.53	Professional		$98.37	$127.12	$133.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.48 / $225.14 / $257.58	Facility		$174.48	$225.14	$257.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $136.91 / $143.66	Professional		$136.91	$136.91	$143.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $194.51	Professional		$141.99	$141.99	$194.51
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $146.34 / $146.34 / $146.34	Facility		$146.34	$146.34	$146.34
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $162.10 / $225.14	Professional		$146.34	$162.10	$225.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $143.03 / $143.03	Professional		$143.03	$143.03	$143.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $112.32 / $169.22	Professional		$85.72	$112.32	$169.22