Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $29.26 / $58.04	Facility		$20.22	$29.26	$58.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.02 / $27.45	Professional		$1.71	$2.02	$27.45
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 $20.23 / $25.30 / $27.73	Professional		$20.23	$25.30	$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 $6.35 / $6.35 / $6.35	Facility		$6.35	$6.35	$6.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $19.71 / $48.84	Professional		$11.13	$19.71	$48.84