Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $99.73 / $418.27	Facility		$27.39	$99.73	$418.27
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $30.07 / $124.23 / $381.78	Facility	CQ	$30.07	$124.23	$381.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $20.01 / $27.39	Professional		$16.04	$20.01	$27.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $71.08 / $121.64	Facility		$44.90	$71.08	$121.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $28.00 / $44.24	Professional		$19.89	$28.00	$44.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $100.00 / $130.96	Facility		$63.72	$100.00	$130.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $74.13 / $114.99	Professional		$28.21	$74.13	$114.99
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 $33.72 / $45.00 / $57.39	Professional		$33.72	$45.00	$57.39
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $102.72 / $306.58	Facility		$44.90	$102.72	$306.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $51.95 / $103.89	Professional		$16.00	$51.95	$103.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $27.74 / $38.36	Professional		$18.14	$27.74	$38.36