Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Professional		$115.00	$115.00	$115.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $15.67 / $31.09	Facility		$10.83	$15.67	$31.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.05 / $17.59	Professional		$5.14	$6.05	$17.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $90.00 / $109.64	Facility		$75.38	$90.00	$109.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $24.26 / $27.73	Professional		$19.41	$24.26	$27.73
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $30.09 / $32.02	Professional		$30.09	$30.09	$32.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $79.20	Facility		$5.46	$5.46	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $20.77 / $55.35	Professional		$11.13	$20.77	$55.35