Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.98 / $250.68 / $402.06	Facility		$204.98	$250.68	$402.06
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $203.15 / $234.00 / $459.57	Facility	25	$203.15	$234.00	$459.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $164.81 / $382.40	Professional		$105.22	$164.81	$382.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $94.86 / $239.26 / $582.00	Professional	25	$94.86	$239.26	$582.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $228.83 / $265.00	Facility		$177.00	$228.83	$265.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $182.19 / $263.33	Professional		$123.74	$182.19	$263.33
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 $134.81 / $191.78 / $318.93	Professional		$134.81	$191.78	$318.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $206.25 / $342.04	Professional		$81.17	$206.25	$342.04
Health New England Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $180.72 / $255.42	Facility		$175.00	$180.72	$255.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $240.84 / $360.19	Professional		$186.16	$240.84	$360.19
United Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $213.24 / $322.70	Professional		$142.77	$213.24	$322.70