Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $31.79 / $63.08	Facility		$21.98	$31.79	$63.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.18 / $29.84	Professional		$4.76	$6.18	$29.84
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 $24.78 / $25.34 / $30.98	Professional		$24.78	$25.34	$30.98
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 $6.83 / $6.83 / $12.80	Facility		$6.83	$6.83	$12.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $17.23 / $48.84	Professional		$11.13	$17.23	$48.84