Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.90 / $52.48	Facility		$21.88	$30.90	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.45 / $28.84	Professional		$6.76	$14.45	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $120.23	Facility		$83.18	$97.72	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $36.31	Professional		$17.78	$28.84	$36.31
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Health New England Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.88 / $12.88	Facility		$6.76	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $48.98	Professional		$11.75	$21.38	$48.98