Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.01 / $74.01 / $74.01	Facility		$74.01	$74.01	$74.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $74.01 / $76.20	Professional		$68.93	$74.01	$76.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $152.26 / $174.20	Facility		$118.00	$152.26	$174.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $88.15 / $92.89	Professional		$88.15	$88.15	$92.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $97.54	Professional		$71.20	$71.20	$97.54
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $98.97 / $98.97 / $98.97	Facility		$98.97	$98.97	$98.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $106.58 / $152.26	Professional		$98.97	$106.58	$152.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $105.87 / $105.87	Professional		$105.87	$105.87	$105.87
United Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $75.95 / $109.41	Professional		$57.97	$75.95	$109.41