Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $57.45 / $125.75	Facility		$38.25	$57.45	$125.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $59.11 / $112.41	Facility		$18.18	$59.11	$112.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $38.25	Professional		$37.50	$37.50	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $38.89 / $38.89	Facility		$38.89	$38.89	$38.89
United Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $37.50 / $42.26	Professional		$33.75	$37.50	$42.26