Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $257.04	Professional		$125.89	$158.49	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $331.13 / $398.11	Facility		$257.04	$331.13	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $199.53	Professional		$165.96	$173.78	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $354.81	Professional		$208.93	$239.88	$354.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $144.54 / $181.97	Facility		$112.20	$144.54	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $213.80	Professional		$123.03	$162.18	$213.80