Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.48 / $94.48 / $94.48	Facility		$94.48	$94.48	$94.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $87.67 / $94.68	Professional		$84.59	$87.67	$94.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.63 / $194.38 / $222.39	Facility		$150.63	$194.38	$222.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $121.56 / $121.56	Professional		$117.55	$121.56	$121.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $120.62	Professional		$88.05	$88.05	$120.62
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $126.35 / $126.35	Facility		$126.35	$126.35	$126.35
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $126.35 / $178.83	Professional		$126.35	$126.35	$178.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $96.97 / $148.01	Professional		$74.00	$96.97	$148.01