Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $26.92	Professional		$12.88	$19.95	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $28.84	Professional		$16.60	$16.98	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $25.70	Facility		$20.42	$20.42	$25.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $31.62	Professional		$20.42	$23.44	$31.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.95	Facility		$14.45	$14.45	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $22.39	Professional		$10.47	$15.85	$22.39