Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $227.35 / $351.75	Facility		$118.95	$227.35	$351.75
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $278.32 / $332.47 / $369.75	Facility	25	$278.32	$332.47	$369.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $102.97 / $244.18	Professional		$65.86	$102.97	$244.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $76.00 / $156.68 / $390.00	Professional	25	$76.00	$156.68	$390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $228.83 / $265.00	Facility		$182.00	$228.83	$265.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $116.34 / $172.39	Professional		$81.50	$116.34	$172.39
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 $88.60 / $127.06 / $207.41	Professional		$88.60	$127.06	$207.41
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $155.55 / $227.93	Professional		$81.17	$155.55	$227.93
Health New England Facility/Professional Facility Modifier Low / Median / High Price $160.71 / $180.72 / $230.75	Facility		$160.71	$180.72	$230.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $169.57 / $220.01	Professional		$125.95	$169.57	$220.01
United Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $131.50 / $218.73	Professional		$91.38	$131.50	$218.73