Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.04 / $372.00 / $590.11	Facility		$189.04	$372.00	$590.11
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $240.55 / $240.55 / $390.22	Facility	25	$240.55	$240.55	$390.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $203.46 / $485.34	Professional		$138.19	$203.46	$485.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $177.14 / $354.68 / $783.18	Professional	25	$177.14	$354.68	$783.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.32 / $234.00 / $403.00	Facility		$182.32	$234.00	$403.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $235.38 / $335.38	Professional		$165.38	$235.38	$335.38
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 $179.68 / $247.04 / $405.53	Professional		$179.68	$247.04	$405.53
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $264.01 / $431.02	Professional		$101.45	$264.01	$431.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $245.27 / $316.61 / $474.40	Professional		$245.27	$316.61	$474.40
United Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $269.80 / $407.19	Professional		$171.44	$269.80	$407.19
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00