Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Professional		$112.00	$112.00	$112.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $21.67 / $43.00	Facility		$14.98	$21.67	$43.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $4.11 / $20.32	Professional		$3.17	$4.11	$20.32
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 $15.76 / $15.76 / $15.76	Facility		$15.76	$15.76	$15.76
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.43 / $48.84	Professional		$11.13	$16.43	$48.84