Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $169.00 / $384.87	Facility		$42.66	$169.00	$384.87
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $36.45 / $166.00 / $402.95	Facility	CQ	$36.45	$166.00	$402.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $24.04 / $32.92	Professional		$19.93	$24.04	$32.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.18 / $79.43 / $135.93	Facility		$50.18	$79.43	$135.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $31.36 / $52.27	Professional		$22.72	$31.36	$52.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $95.52 / $145.68	Facility		$72.28	$95.52	$145.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $73.00 / $114.34	Professional		$31.39	$73.00	$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 $35.00 / $45.00 / $63.09	Professional		$35.00	$45.00	$63.09
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $91.69 / $144.04	Facility		$44.90	$91.69	$144.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $56.61 / $75.00	Professional		$16.00	$56.61	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $34.33 / $43.42	Professional		$26.03	$34.33	$43.42