Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $166.00 / $384.87	Facility		$40.40	$166.00	$384.87
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $265.00 / $385.60 / $628.34	Facility	CO	$265.00	$385.60	$628.34
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $32.40 / $126.24 / $166.00	Facility	CQ	$32.40	$126.24	$166.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $26.30 / $35.72	Professional		$20.87	$26.30	$35.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $95.12 / $162.78	Facility		$60.09	$95.12	$162.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $33.03 / $53.50	Professional		$24.88	$33.03	$53.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $83.09 / $150.01	Facility		$74.59	$83.09	$150.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $73.00 / $114.34	Professional		$33.11	$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 / $68.92	Professional		$35.00	$45.00	$68.92
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $103.50 / $173.53	Facility		$44.90	$103.50	$173.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $55.00 / $55.94	Professional		$16.00	$55.00	$55.94
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $37.09 / $48.04	Professional		$27.77	$37.09	$48.04