Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $213.80	Professional		$91.20	$120.23	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $218.78 / $263.03	Facility		$169.82	$218.78	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $134.90	Professional		$125.89	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $234.42	Professional		$141.25	$162.18	$234.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $141.25	Facility		$87.10	$138.04	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $162.18	Professional		$83.18	$107.15	$162.18