Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $107.00	Professional		$107.00	$107.00	$107.00
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 $3.67 / $4.32 / $17.59	Professional		$3.67	$4.32	$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 $19.82 / $24.78 / $27.73	Professional		$19.82	$24.78	$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 / $20.77 / $48.84	Professional		$11.13	$20.77	$48.84