Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $74.63 / $74.63	Facility		$74.63	$74.63	$74.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $74.63 / $89.63	Professional		$67.09	$74.63	$89.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.99 / $153.54 / $175.67	Facility		$118.99	$153.54	$175.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $93.24 / $97.98	Professional		$93.24	$93.24	$97.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $99.32	Professional		$72.50	$72.50	$99.32
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $99.80 / $99.80	Facility		$99.80	$99.80	$99.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $104.59 / $148.03	Professional		$99.80	$104.59	$148.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $97.55 / $97.55	Professional		$97.55	$97.55	$97.55
United Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $76.59 / $115.42	Professional		$58.46	$76.59	$115.42