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 / $59.91	Professional		$51.41	$56.48	$59.91
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 $64.14 / $64.14 / $69.01	Professional		$64.14	$64.14	$69.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $67.56	Professional		$49.33	$49.33	$67.56
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 $72.41 / $72.41 / $72.41	Professional		$72.41	$72.41	$72.41
United Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $58.94 / $110.21	Professional		$44.98	$58.94	$110.21