Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $275.42 / $467.74	Facility		$100.00	$275.42	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $169.82	Professional		$54.95	$77.62	$169.82
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.54 / $57.54 / $144.54	Professional	CQ	$57.54	$57.54	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $331.13	Facility		$154.88	$223.87	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $114.82	Professional		$63.10	$79.43	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $173.78	Professional		$69.18	$77.62	$173.78
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 $75.86 / $109.65 / $134.90	Professional		$75.86	$109.65	$134.90
Health New England Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $269.15 / $407.38	Facility		$120.23	$269.15	$407.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $158.49	Professional		$54.95	$54.95	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $123.03	Professional		$66.07	$89.13	$123.03