Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $162.18	Professional		$38.90	$64.57	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $186.21	Facility		$120.23	$154.88	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $95.50	Professional		$72.44	$72.44	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Facility		$70.79	$70.79	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $128.82	Professional		$77.62	$107.15	$128.82
Health New England Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $72.44	Facility		$53.70	$53.70	$72.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $181.97	Professional		$72.44	$158.49	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $52.48 / $67.61	Facility		$46.77	$52.48	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $100.00	Professional		$50.12	$72.44	$100.00