Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $125.00 / $328.23	Facility		$40.42	$125.00	$328.23
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $166.87 / $166.87 / $166.87	Facility	CO	$166.87	$166.87	$166.87
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $265.00 / $265.00 / $265.00	Facility	CQ	$265.00	$265.00	$265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $24.30 / $32.08	Professional		$19.28	$24.30	$32.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $85.71 / $146.68	Facility		$54.14	$85.71	$146.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $32.69 / $51.31	Professional		$23.09	$32.69	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $126.32 / $150.01	Facility		$74.61	$126.32	$150.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $73.80 / $114.99	Professional		$32.75	$73.80	$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 $39.32 / $45.00 / $63.47	Professional		$39.32	$45.00	$63.47
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $49.89 / $89.76	Facility		$44.90	$49.89	$89.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $32.40 / $44.00	Professional		$25.31	$32.40	$44.00