Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.44 / $175.76 / $482.90	Facility		$73.44	$175.76	$482.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $88.71 / $137.76	Professional		$65.12	$88.71	$137.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	25	$120.00	$120.00	$120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $271.00 / $311.00	Facility		$271.00	$271.00	$311.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $77.23 / $102.66	Professional		$40.00	$77.23	$102.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $97.00 / $213.40	Professional		$49.00	$97.00	$213.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $138.08	Professional		$78.45	$78.45	$138.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $141.38 / $195.73	Professional		$93.84	$141.38	$195.73
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $100.62 / $203.68	Professional		$60.00	$100.62	$203.68