Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $851.14	Professional		$32.36	$47.86	$851.14
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $776.25 / $2,238.72 / $2,818.38	Professional	AA	$776.25	$2,238.72	$2,818.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $426.58 / $575.44	Professional	QX	$269.15	$426.58	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.78 / $295.12 / $489.78	Professional	QY	$218.78	$295.12	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $691.83	Professional		$309.03	$489.78	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $588.84	Professional		$251.19	$446.68	$588.84
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $537.03 / $812.83	Professional		$288.40	$537.03	$812.83
Health New England Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $109.65	Professional		$50.12	$77.62	$109.65