Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $95.50	Professional		$43.65	$66.07	$95.50
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 $60.26 / $66.07 / $85.11	Professional		$60.26	$66.07	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $117.49	Professional		$69.18	$93.33	$117.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $60.26	Facility		$42.66	$50.12	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $91.20	Professional		$45.71	$66.07	$91.20