Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $55.35 / $4,903.84	Facility		$30.56	$55.35	$4,903.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $30.56 / $30.56	Professional		$30.56	$30.56	$30.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $44.66 / $88.07	Facility		$26.19	$44.66	$88.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Facility		$29.38	$29.38	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $30.49 / $36.76	Professional		$29.38	$30.49	$36.76
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,691.05 / $2,691.05 / $2,691.05	Facility		$2,691.05	$2,691.05	$2,691.05
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $31.05 / $33.65	Professional		$29.38	$31.05	$33.65