Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $30.23 / $59.97	Facility		$20.90	$30.23	$59.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.18 / $28.36	Professional		$3.55	$4.18	$28.36
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 $23.95 / $25.34 / $29.94	Professional		$23.95	$25.34	$29.94
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 $6.26 / $6.26 / $6.26	Facility		$6.26	$6.26	$6.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $20.77 / $48.84	Professional		$11.13	$20.77	$48.84