Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $14.53 / $19.89	Facility		$14.53	$14.53	$19.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $14.53 / $17.94	Professional		$13.01	$14.53	$17.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $29.90 / $34.21	Facility		$23.17	$29.90	$34.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $19.07	Professional		$18.11	$18.11	$19.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $31.55	Facility		$22.18	$22.18	$31.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $31.55	Professional		$16.19	$16.19	$31.55
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Facility		$19.44	$19.44	$19.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $27.51	Professional		$19.44	$19.44	$27.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Facility		$16.14	$16.14	$16.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $15.25	Professional		$15.25	$15.25	$15.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $14.92 / $24.86	Professional		$11.38	$14.92	$24.86