Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $73.45	Professional		$72.00	$72.00	$73.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.48 / $133.52 / $152.76	Facility		$103.48	$133.52	$152.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Professional		$39.00	$39.00	$39.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $52.17	Professional		$38.08	$38.08	$52.17
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $86.79 / $86.79 / $86.79	Facility		$86.79	$86.79	$86.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $86.79 / $113.49	Professional		$76.15	$86.79	$113.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $232.77 / $232.77 / $232.77	Professional		$232.77	$232.77	$232.77
United Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $103.82 / $148.47	Professional		$71.30	$103.82	$148.47