Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $108.93 / $108.93	Facility		$108.93	$108.93	$108.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $108.93 / $130.69	Professional		$97.43	$108.93	$130.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.69 / $224.11 / $256.39	Facility		$173.69	$224.11	$256.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $137.37 / $143.50	Professional		$137.37	$137.37	$143.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $159.22	Professional		$116.23	$116.23	$159.22
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $145.66 / $145.66	Facility		$145.66	$145.66	$145.66
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $145.66 / $205.97	Professional		$145.52	$145.66	$205.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $147.07 / $147.07	Professional		$147.07	$147.07	$147.07
United Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $111.81 / $168.43	Professional		$85.32	$111.81	$168.43