Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $108.04 / $108.04	Facility		$108.04	$108.04	$108.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $118.66 / $133.38	Professional		$97.13	$118.66	$133.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.28 / $222.30 / $254.33	Facility		$172.28	$222.30	$254.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $135.18 / $141.86	Professional		$135.18	$135.18	$141.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $182.31	Professional		$133.09	$133.09	$182.31
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $144.50 / $144.50	Facility		$144.50	$144.50	$144.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $160.06 / $222.30	Professional		$144.50	$160.06	$222.30
Health New England Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $141.22 / $141.22	Professional		$141.22	$141.22	$141.22
United Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $110.90 / $167.10	Professional		$84.64	$110.90	$167.10