Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $135.82 / $255.14	Facility		$39.92	$135.82	$255.14
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $129.55 / $184.17 / $247.56	Facility	25	$129.55	$184.17	$247.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $45.23 / $95.48	Professional		$24.52	$45.23	$95.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.03 / $73.86 / $165.92	Professional	25	$39.03	$73.86	$165.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $216.11 / $265.00	Facility		$158.00	$216.11	$265.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $45.17 / $71.59	Professional		$30.32	$45.17	$71.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $165.00 / $253.77	Facility		$101.00	$165.00	$253.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $51.20 / $89.70	Professional		$30.47	$51.20	$89.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $79.66 / $110.86	Professional		$41.92	$79.66	$110.86
Health New England Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $175.00 / $180.72	Facility		$72.03	$175.00	$180.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $69.16 / $105.44	Professional		$41.78	$69.16	$105.44
United Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $66.79 / $97.54	Professional		$41.41	$66.79	$97.54