Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $125.89	Professional		$54.95	$67.61	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $169.82	Facility		$109.65	$141.25	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $104.71	Professional		$74.13	$77.62	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $100.00	Facility		$77.62	$77.62	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $138.04	Professional		$91.20	$102.33	$138.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $81.28	Facility		$50.12	$60.26	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $93.33	Professional		$51.29	$69.18	$93.33