Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Facility		$12.00	$12.00	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $13.74	Professional		$12.00	$12.00	$13.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $29.83 / $34.13	Facility		$23.12	$29.83	$34.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.76 / $23.36	Professional		$16.22	$21.76	$23.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $18.95 / $26.83	Professional		$17.20	$18.95	$26.83
Health New England Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $33.32 / $66.64	Facility		$33.32	$33.32	$66.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $16.66 / $16.66	Professional		$16.66	$16.66	$16.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $14.58 / $28.45	Professional		$11.58	$14.58	$28.45