Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.72 / $109.72 / $109.72	Facility		$109.72	$109.72	$109.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $109.72 / $118.45	Professional		$91.17	$109.72	$118.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.96 / $225.75 / $258.27	Facility		$174.96	$225.75	$258.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $123.82 / $130.27	Professional		$123.82	$123.82	$130.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $170.15	Professional		$124.21	$124.21	$170.15
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $146.74	Facility		$146.74	$146.74	$146.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $160.59 / $225.75	Professional		$146.74	$160.59	$225.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $129.69 / $129.69	Professional		$129.69	$129.69	$129.69
United Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $112.62 / $156.94	Professional		$85.95	$112.62	$156.94