Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $163.41 / $163.41	Facility		$163.41	$163.41	$163.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $173.54 / $195.07	Professional		$163.41	$173.54	$195.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.56 / $336.20 / $384.65	Facility		$260.56	$336.20	$384.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $205.41 / $214.55	Professional		$205.41	$205.41	$214.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $244.07	Professional		$178.17	$178.17	$244.07
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $218.53 / $218.53 / $218.53	Facility		$218.53	$218.53	$218.53
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $242.06 / $336.20	Professional		$218.53	$242.06	$336.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $254.51 / $254.51 / $254.51	Professional		$254.51	$254.51	$254.51
United Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $167.72 / $252.71	Professional		$128.00	$167.72	$252.71