Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $106.31 / $353.61	Facility		$25.80	$106.31	$353.61
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $96.12 / $100.00 / $156.00	Facility	CQ	$96.12	$100.00	$156.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $20.80 / $27.93	Professional		$16.96	$20.80	$27.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $65.86 / $112.70	Facility		$41.60	$65.86	$112.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $26.70 / $45.03	Professional		$19.78	$26.70	$45.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.01 / $89.21 / $123.17	Facility		$60.01	$89.21	$123.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $60.00 / $109.73	Professional		$21.37	$60.00	$109.73
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 $31.68 / $45.00 / $56.76	Professional		$31.68	$45.00	$56.76
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $79.19 / $151.41	Facility		$44.90	$79.19	$151.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $48.62	Professional		$16.00	$16.00	$48.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $29.02 / $37.28	Professional		$22.34	$29.02	$37.28