Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $109.65	Professional		$52.48	$70.79	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $165.96 / $204.17	Facility		$128.82	$165.96	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $104.71	Professional		$74.13	$79.43	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $147.91	Professional		$87.10	$117.49	$147.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $81.28	Facility		$51.29	$61.66	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $109.65	Professional		$54.95	$77.62	$109.65