Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $79.92 / $79.92	Facility		$79.92	$79.92	$79.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $58.57 / $79.92	Professional		$57.21	$58.57	$79.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $164.43 / $188.12	Facility		$127.43	$164.43	$188.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $74.53 / $78.70	Professional		$74.53	$74.53	$78.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Facility		$79.77	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $79.77	Professional		$58.23	$58.23	$79.77
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $106.88 / $106.88	Facility		$106.88	$106.88	$106.88
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $106.88 / $139.77	Professional		$85.44	$106.88	$139.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Professional		$78.34	$78.34	$78.34
United Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $80.59 / $136.72	Professional		$55.86	$80.59	$136.72