Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $67.41 / $67.41	Facility		$67.41	$67.41	$67.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $67.41 / $85.82	Professional		$60.36	$67.41	$85.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.49 / $138.69 / $158.69	Facility		$107.49	$138.69	$158.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $88.50	Professional		$81.20	$81.20	$88.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $86.66	Professional		$63.26	$63.26	$86.66
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $90.16 / $90.16 / $90.16	Facility		$90.16	$90.16	$90.16
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $90.16 / $127.60	Professional		$90.16	$90.16	$127.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $88.11 / $88.11	Professional		$88.11	$88.11	$88.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $69.19 / $115.32	Professional		$52.80	$69.19	$115.32