Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $24.77 / $49.15	Facility		$17.13	$24.77	$49.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.90 / $23.25	Professional		$4.16	$4.90	$23.25
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 $22.30 / $25.34 / $27.88	Professional		$22.30	$25.34	$27.88
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 $5.33 / $5.33 / $5.33	Facility		$5.33	$5.33	$5.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.61 / $48.84	Professional		$11.13	$16.61	$48.84