Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $145.33 / $342.96	Facility		$18.09	$145.33	$342.96
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $98.66 / $352.75 / $545.87	Facility	25	$98.66	$352.75	$545.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $19.48 / $39.00	Professional		$7.74	$19.48	$39.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.72 / $41.42 / $79.92	Professional	25	$25.72	$41.42	$79.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $193.05 / $267.00	Facility		$145.00	$193.05	$267.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $16.48 / $33.14	Professional		$8.68	$16.48	$33.14
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 $10.74 / $25.67 / $44.02	Professional		$10.74	$25.67	$44.02
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $38.92 / $59.13	Professional		$20.14	$38.92	$59.13
Health New England Facility/Professional Facility Modifier Low / Median / High Price $118.54 / $118.54 / $175.00	Facility		$118.54	$118.54	$175.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $37.61 / $50.68	Professional		$15.97	$37.61	$50.68
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $32.28 / $46.57	Professional		$21.11	$32.28	$46.57