Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $57.54 / $95.50	Facility		$28.18	$57.54	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $33.11	Professional		$19.95	$19.95	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $66.07	Facility		$26.30	$33.11	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $20.42	Professional		$16.98	$17.78	$20.42
Health New England Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.42 / $102.33	Professional		$18.62	$20.42	$102.33