Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $186.21	Professional		$77.62	$100.00	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $223.87	Facility		$144.54	$186.21	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $114.82	Professional		$107.15	$112.20	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $204.17	Professional		$117.49	$138.04	$204.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $114.82	Facility		$72.44	$75.86	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $134.90	Professional		$69.18	$91.20	$134.90