Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $75.65 / $75.65	Facility		$75.65	$75.65	$75.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $75.65 / $81.64	Professional		$57.41	$75.65	$81.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $155.63 / $178.06	Facility		$120.61	$155.63	$178.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $79.04 / $84.19	Professional		$79.04	$79.04	$84.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $103.32	Professional		$75.42	$75.42	$103.32
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $101.16 / $101.16 / $101.16	Facility		$101.16	$101.16	$101.16
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $101.16 / $132.29	Professional		$85.76	$101.16	$132.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $83.83 / $83.83	Professional		$83.83	$83.83	$83.83
United Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $77.64 / $129.40	Professional		$59.25	$77.64	$129.40