Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $295.12	Professional		$128.82	$165.96	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $338.84 / $407.38	Facility		$263.03	$338.84	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $218.78	Professional		$181.97	$190.55	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $331.13	Professional		$218.78	$239.88	$331.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $199.53	Facility		$123.03	$154.88	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $229.09	Professional		$125.89	$165.96	$229.09