Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $128.82	Professional		$63.10	$81.28	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $186.21	Facility		$120.23	$154.88	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $120.23	Professional		$83.18	$89.13	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $181.97	Professional		$97.72	$117.49	$181.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $87.10	Facility		$57.54	$69.18	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $107.15	Professional		$57.54	$75.86	$107.15