Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.78 / $234.00 / $339.85	Facility		$137.78	$234.00	$339.85
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $55.27 / $173.63 / $371.31	Facility	25	$55.27	$173.63	$371.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $110.02 / $274.41	Professional		$65.87	$110.02	$274.41
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.07 / $145.59 / $379.37	Professional	25	$39.07	$145.59	$379.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $287.60 / $287.60 / $287.60	Professional	50	$287.60	$287.60	$287.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $228.83 / $265.00	Facility		$177.00	$228.83	$265.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $122.98 / $175.01	Professional		$81.75	$122.98	$175.01
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 $74.52 / $126.84 / $208.51	Professional		$74.52	$126.84	$208.51
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $168.67 / $220.15	Professional		$48.31	$168.67	$220.15
Health New England Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $180.72 / $213.32	Facility		$140.25	$180.72	$213.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $151.01 / $237.00	Professional		$101.99	$151.01	$237.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $151.53 / $227.21	Professional		$92.83	$151.53	$227.21