Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $31.65 / $4,627.85	Facility		$20.77	$31.65	$4,627.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $20.77 / $20.77	Professional		$20.77	$20.77	$20.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $30.36 / $59.86	Facility		$20.56	$30.36	$59.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $21.67 / $24.98	Professional		$20.72	$21.67	$24.98
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,537.92 / $2,537.92 / $7,435.16	Facility		$2,537.92	$2,537.92	$7,435.16
United Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.97 / $22.17	Professional		$17.97	$19.97	$22.17