Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $117.00 / $510.20	Facility		$22.29	$117.00	$510.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.75 / $58.71	Professional		$19.32	$30.75	$58.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $144.00 / $169.00	Facility		$111.00	$144.00	$169.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $28.30 / $77.83	Professional		$18.30	$28.30	$77.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $79.00 / $120.00	Facility		$45.00	$79.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $30.02 / $70.00	Professional		$21.00	$30.02	$70.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $38.11 / $41.95	Professional		$38.11	$38.11	$41.95
Health New England Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $127.50 / $256.13	Facility		$33.99	$127.50	$256.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $46.45 / $78.56	Professional		$33.99	$46.45	$78.56
United Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $40.00 / $66.38	Professional		$28.71	$40.00	$66.38