Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $138.00 / $138.00	Professional		$138.00	$138.00	$138.00
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 $4.76 / $5.62 / $17.59	Professional		$4.76	$5.62	$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 $7.43 / $9.28 / $27.73	Professional		$7.43	$9.28	$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 $76.50 / $76.50 / $76.50	Facility		$76.50	$76.50	$76.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $16.61 / $48.84	Professional		$9.72	$16.61	$48.84