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 $64.57 / $75.86 / $134.90	Professional		$64.57	$75.86	$134.90
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 $89.13 / $93.33 / $100.00	Professional		$89.13	$93.33	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
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 $97.72 / $109.65 / $151.36	Professional		$97.72	$109.65	$151.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $91.20	Facility		$57.54	$57.54	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $107.15	Professional		$57.54	$75.86	$107.15