Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $75.59 / $75.59	Facility		$75.59	$75.59	$75.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.69 / $74.34 / $78.88	Professional		$67.69	$74.34	$78.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.55 / $155.55 / $177.96	Facility		$120.55	$155.55	$177.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $90.84	Professional		$86.70	$86.70	$90.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $88.96	Professional		$64.94	$64.94	$88.96
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $101.11 / $101.11	Facility		$101.11	$101.11	$101.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $101.11 / $101.11 / $143.11	Professional		$101.11	$101.11	$143.11
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $56.32 / $56.32	Professional		$56.32	$56.32	$56.32
United Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $77.59 / $129.33	Professional		$59.22	$77.59	$129.33