Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $148.57 / $168.06	Professional		$123.81	$148.57	$168.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $283.36 / $324.19	Facility		$219.60	$283.36	$324.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $169.19 / $177.70	Professional		$169.19	$169.19	$177.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $177.64	Professional		$129.68	$129.68	$177.64
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $184.18 / $184.18 / $184.18	Facility		$184.18	$184.18	$184.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $204.02 / $283.36	Professional		$184.18	$204.02	$283.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $176.93 / $176.93 / $176.93	Professional		$176.93	$176.93	$176.93
United Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $141.37 / $209.31	Professional		$107.88	$141.37	$209.31