Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $173.75 / $210.00	Facility		$165.83	$173.75	$210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $36.77 / $99.80	Professional		$28.15	$36.77	$99.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.01 / $18.07 / $26.17	Professional	52	$15.01	$18.07	$26.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $49.86 / $70.54	Professional		$32.01	$49.86	$70.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $39.96	Facility		$36.11	$36.11	$39.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $61.10 / $101.30	Professional		$37.68	$61.10	$101.30
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $103.71 / $115.52	Professional		$41.73	$103.71	$115.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $143.44 / $143.44 / $143.44	Facility		$143.44	$143.44	$143.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $89.70 / $92.63	Professional		$37.20	$89.70	$92.63
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $47.77 / $92.39	Professional		$34.33	$47.77	$92.39