Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $194.98 / $478.63	Facility		$83.18	$194.98	$478.63
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $36.31 / $208.93 / $407.38	Facility	CQ	$36.31	$208.93	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $83.18	Professional		$19.95	$28.84	$83.18
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	CO	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.38 / $39.81 / $74.13	Professional	CQ	$21.38	$39.81	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $83.18 / $123.03	Facility		$58.88	$83.18	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $64.57	Professional		$22.39	$32.36	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $141.25 / $158.49	Facility		$72.44	$141.25	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $75.86	Professional		$22.91	$36.31	$75.86
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $75.86	Professional		$19.95	$44.67	$75.86
Health New England Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $186.21	Facility		$54.95	$93.33	$186.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $56.23 / $112.20	Professional		$15.85	$56.23	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $43.65	Professional		$26.30	$33.11	$43.65