Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $158.49 / $288.40	Facility		$39.81	$158.49	$288.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $128.82 / $190.55 / $707.95	Facility	25	$128.82	$190.55	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $117.49	Professional		$26.92	$51.29	$117.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.11 / $61.66 / $147.91	Professional	25	$33.11	$61.66	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $75.86	Professional		$25.12	$42.66	$75.86
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 $30.20 / $50.12 / $91.20	Professional		$30.20	$50.12	$91.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $125.89	Professional		$42.66	$72.44	$125.89
Health New England Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $181.97	Facility		$72.44	$89.13	$181.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $104.71	Professional		$41.69	$75.86	$104.71
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 $23.99 / $44.67 / $81.28	Professional		$23.99	$44.67	$81.28