Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.32 / $215.32 / $215.32	Facility		$215.32	$215.32	$215.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.48 / $215.32 / $240.00	Professional		$202.48	$215.32	$240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.33 / $443.01 / $506.85	Facility		$343.33	$443.01	$506.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.06 / $247.06 / $259.26	Professional		$247.06	$247.06	$259.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $280.67	Professional		$204.89	$204.89	$280.67
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $287.95 / $287.95	Facility		$287.95	$287.95	$287.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $287.95 / $302.44 / $428.07	Professional		$287.95	$302.44	$428.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $317.79 / $317.79 / $317.79	Professional		$317.79	$317.79	$317.79
United Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $221.02 / $305.38	Professional		$168.67	$221.02	$305.38