Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $60.38 / $274.00	Facility		$11.55	$60.38	$274.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $59.00 / $66.44 / $1,223.00	Facility	CQ	$59.00	$66.44	$1,223.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.10 / $14.40	Professional		$7.85	$10.10	$14.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $31.35 / $53.65	Facility		$19.80	$31.35	$53.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $12.40 / $21.73	Professional		$9.40	$12.40	$21.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $50.07 / $58.99	Facility		$26.85	$50.07	$58.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $72.00 / $114.34	Professional		$12.86	$72.00	$114.34
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $89.00 / $171.00	Facility		$80.00	$89.00	$171.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $45.00 / $85.00	Professional		$14.25	$45.00	$85.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $86.86 / $92.94	Facility		$69.55	$86.86	$92.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $23.98	Professional		$12.00	$12.00	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $13.98 / $17.27	Professional		$11.32	$13.98	$17.27