Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $57.42 / $57.42	Facility		$57.42	$57.42	$57.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $56.48 / $57.79	Professional		$51.41	$56.48	$57.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.57 / $118.15 / $135.18	Facility		$91.57	$118.15	$135.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $64.81 / $69.01	Professional		$64.81	$64.81	$69.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $81.30	Professional		$59.35	$59.35	$81.30
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $76.80 / $76.80	Facility		$76.80	$76.80	$76.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $76.80 / $108.70	Professional		$76.80	$76.80	$108.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $73.56 / $73.56	Professional		$73.56	$73.56	$73.56
United Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $58.94 / $113.78	Professional		$45.22	$58.94	$113.78