Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $87.10 / $4,786.30	Facility		$40.74	$87.10	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $1,445.44	Professional		$28.84	$30.20	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $46.77 / $72.44	Facility		$33.11	$46.77	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $37.15	Professional		$29.51	$30.90	$37.15
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $33.11	Professional		$26.30	$30.90	$33.11