Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $200.61 / $377.23	Facility		$59.22	$200.61	$377.23
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $84.32 / $174.17 / $252.40	Facility	25	$84.32	$174.17	$252.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $75.63 / $190.46	Professional		$45.17	$75.63	$190.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $44.64 / $97.73 / $252.15	Professional	25	$44.64	$97.73	$252.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $228.83 / $265.00	Facility		$182.00	$228.83	$265.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $81.06 / $118.39	Professional		$55.98	$81.06	$118.39
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 $45.63 / $85.73 / $143.96	Professional		$45.63	$85.73	$143.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $111.93 / $151.57	Professional		$48.31	$111.93	$151.57
Health New England Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $147.44 / $180.72	Facility		$117.95	$147.44	$180.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $100.48 / $166.58	Professional		$62.05	$100.48	$166.58
United Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $108.99 / $154.88	Professional		$64.25	$108.99	$154.88