Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $136.00 / $136.00	Professional		$136.00	$136.00	$136.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $28.80 / $57.14	Facility		$19.91	$28.80	$57.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.33 / $27.02	Professional		$4.53	$5.33	$27.02
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 $22.30 / $25.34 / $27.88	Professional		$22.30	$25.34	$27.88
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 $6.35 / $6.35 / $11.89	Facility		$6.35	$6.35	$11.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.61 / $48.84	Professional		$11.13	$16.61	$48.84