Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $209.91 / $370.58	Facility		$106.92	$209.91	$370.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $133.11 / $235.50	Professional		$97.85	$133.11	$235.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $442.00 / $442.00 / $442.00	Professional	25	$442.00	$442.00	$442.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $279.00 / $507.00	Facility		$221.00	$279.00	$507.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $135.40 / $191.50	Professional		$100.83	$135.40	$191.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $108.00 / $126.00	Facility		$80.00	$108.00	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $125.00 / $207.00	Professional		$78.00	$125.00	$207.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $137.33 / $229.87	Professional		$137.33	$137.33	$229.87
Health New England Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $119.03 / $140.71	Facility		$119.03	$119.03	$140.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $119.03 / $356.25	Professional		$90.74	$119.03	$356.25
United Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $148.29 / $329.81	Professional		$94.26	$148.29	$329.81