Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.65 / $74.65 / $74.65	Facility		$74.65	$74.65	$74.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $73.47 / $77.92	Professional		$66.84	$73.47	$77.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.05 / $153.61 / $175.75	Facility		$119.05	$153.61	$175.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $84.87 / $89.74	Professional		$84.87	$84.87	$89.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $99.85 / $99.85 / $99.85	Facility		$99.85	$99.85	$99.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $99.85 / $141.32	Professional		$99.85	$99.85	$141.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $91.78 / $91.78	Professional		$91.78	$91.78	$91.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $76.63 / $127.72	Professional		$58.48	$76.63	$127.72