Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
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 $4.16 / $5.39 / $29.84	Professional		$4.16	$5.39	$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 $16.93 / $21.17 / $27.73	Professional		$16.93	$21.17	$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 $11.89 / $11.89 / $15.76	Facility		$11.89	$11.89	$15.76
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $17.23 / $48.84	Professional		$11.13	$17.23	$48.84