Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $135.40 / $359.72	Facility		$37.45	$135.40	$359.72
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $222.60 / $222.60 / $222.60	Facility	CO	$222.60	$222.60	$222.60
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $48.00 / $156.00 / $408.87	Facility	CQ	$48.00	$156.00	$408.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $21.53 / $29.73	Professional		$17.39	$21.53	$29.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $76.30 / $130.58	Facility		$48.20	$76.30	$130.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $30.03 / $48.01	Professional		$21.46	$30.03	$48.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $85.54 / $138.77	Facility		$69.14	$85.54	$138.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $72.75 / $114.34	Professional		$29.09	$72.75	$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 $35.00 / $45.00 / $78.67	Professional		$35.00	$45.00	$78.67
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $80.56 / $140.08	Facility		$44.90	$80.56	$140.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $55.28 / $110.55	Professional		$16.00	$55.28	$110.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $29.81 / $41.58	Professional		$23.21	$29.81	$41.58