Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $18.71 / $37.13	Facility		$12.94	$18.71	$37.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.75 / $17.59	Professional		$3.67	$4.75	$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 $16.93 / $21.17 / $27.73	Professional		$16.93	$21.17	$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 $4.01 / $4.01 / $4.01	Facility		$4.01	$4.01	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $16.38 / $48.84	Professional		$11.03	$16.38	$48.84