Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $338.84	Facility		$95.50	$138.04	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $60.26	Professional		$20.89	$28.84	$60.26
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $77.62 / $87.10 / $204.17	Professional	CQ	$77.62	$87.10	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $128.82	Facility		$61.66	$87.10	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $64.57	Professional		$26.92	$40.74	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $181.97	Facility		$93.33	$165.96	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $85.11	Professional		$25.70	$41.69	$85.11
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 $30.20 / $56.23 / $75.86	Professional		$30.20	$56.23	$75.86
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $309.03 / $309.03	Facility		$44.67	$309.03	$309.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $50.12	Professional		$29.51	$36.31	$50.12