Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $125.89 / $346.74	Facility		$15.85	$125.89	$346.74
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $61.66 / $169.82 / $524.81	Facility	25	$61.66	$169.82	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $20.42 / $52.48	Professional		$7.08	$20.42	$52.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.38 / $41.69 / $79.43	Professional	25	$21.38	$41.69	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $17.78 / $33.88	Professional		$8.32	$17.78	$33.88
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 $9.77 / $23.99 / $40.74	Professional		$9.77	$23.99	$40.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $60.26	Professional		$21.88	$36.31	$60.26
Health New England Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $47.86	Professional		$15.85	$28.18	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $19.95 / $38.90	Professional		$8.32	$19.95	$38.90