Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.31 / $162.31 / $162.31	Facility		$162.31	$162.31	$162.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $152.19 / $164.37	Professional		$139.44	$152.19	$164.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.83 / $333.97 / $382.10	Facility		$258.83	$333.97	$382.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.72 / $183.72 / $191.90	Professional		$183.72	$183.72	$191.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $225.68	Facility		$225.68	$225.68	$225.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $164.75 / $225.68	Professional		$164.75	$164.75	$225.68
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $217.08 / $217.08 / $217.08	Facility		$217.08	$217.08	$217.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $217.08 / $218.00 / $308.55	Professional		$217.08	$218.00	$308.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $191.05 / $191.05 / $191.05	Professional		$191.05	$191.05	$191.05
United Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $166.61 / $231.18	Professional		$127.15	$166.61	$231.18