Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $346.74	Professional		$158.49	$194.98	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $416.87	Facility		$263.03	$346.74	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $223.87	Professional		$204.17	$213.80	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $436.52	Professional		$218.78	$269.15	$436.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $169.82 / $223.87	Facility		$138.04	$169.82	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $257.04	Professional		$128.82	$165.96	$257.04