Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $213.80 / $331.13	Facility		$67.61	$213.80	$331.13
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $275.42 / $288.40 / $371.54	Facility	25	$275.42	$288.40	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $263.03	Professional		$64.57	$109.65	$263.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $74.13 / $138.04 / $309.03	Professional	25	$74.13	$138.04	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $173.78	Professional		$69.18	$107.15	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.97 / $251.19	Facility		$100.00	$181.97	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $208.93	Professional		$85.11	$125.89	$208.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $245.47	Professional		$77.62	$151.36	$245.47
Health New England Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $229.09	Facility		$181.97	$213.80	$229.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $229.09	Professional		$109.65	$173.78	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Facility		$69.18	$69.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $186.21	Professional		$69.18	$107.15	$186.21