Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $110.91 / $110.91	Facility		$110.91	$110.91	$110.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $110.91 / $111.72	Professional		$99.71	$110.91	$111.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $228.20 / $261.08	Facility		$176.86	$228.20	$261.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $117.63 / $122.88	Professional		$117.63	$117.63	$122.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Professional		$92.70	$92.70	$92.70
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $148.33 / $148.33	Facility		$148.33	$148.33	$148.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $159.74 / $228.20	Professional		$148.33	$159.74	$228.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $122.33 / $122.33	Professional		$122.33	$122.33	$122.33
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $113.84 / $148.03	Professional		$86.88	$113.84	$148.03