Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $247.56 / $274.64	Facility		$86.92	$247.56	$274.64
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $177.45 / $252.40 / $269.20	Facility	25	$177.45	$252.40	$269.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $70.39 / $144.00	Professional		$42.47	$70.39	$144.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $77.50 / $141.13 / $274.00	Professional	25	$77.50	$141.13	$274.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.32 / $228.83 / $267.00	Facility		$182.32	$228.83	$267.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $73.23 / $118.84	Professional		$48.88	$73.23	$118.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $165.00 / $253.77	Facility		$108.00	$165.00	$253.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $84.19 / $144.78	Professional		$55.98	$84.19	$144.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $110.20 / $146.40	Professional		$68.69	$110.20	$146.40
Health New England Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $175.00 / $180.72	Facility		$106.52	$175.00	$180.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $111.09 / $153.56	Professional		$66.34	$111.09	$153.56
United Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $96.23 / $154.86	Professional		$66.34	$96.23	$154.86