Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.63 / $167.63 / $167.63	Facility		$167.63	$167.63	$167.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $151.01 / $167.63	Professional		$112.57	$151.01	$167.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.30 / $344.90 / $394.60	Facility		$267.30	$344.90	$394.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $156.09 / $165.07	Professional		$156.09	$156.09	$165.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $161.63	Professional		$117.99	$117.99	$161.63
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $224.19 / $224.19 / $224.19	Facility		$224.19	$224.19	$224.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $224.19 / $284.55	Professional		$168.14	$224.19	$284.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $164.36 / $164.36	Professional		$164.36	$164.36	$164.36
United Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $172.07 / $213.82	Professional		$131.31	$172.07	$213.82