Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.17 / $258.13 / $398.74	Facility		$194.17	$258.13	$398.74
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $234.00 / $285.18 / $489.42	Facility	25	$234.00	$285.18	$489.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $147.19 / $328.62	Professional		$92.65	$147.19	$328.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.21 / $272.14 / $619.88	Professional	25	$127.21	$272.14	$619.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.32 / $234.00 / $403.00	Facility		$182.32	$234.00	$403.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $172.12 / $235.07	Professional		$117.03	$172.12	$235.07
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 $119.39 / $173.54 / $297.24	Professional		$119.39	$173.54	$297.24
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $221.44 / $316.45	Professional		$67.89	$221.44	$316.45
Health New England Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $280.38	Facility		$175.00	$175.00	$280.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $232.11 / $344.58	Professional		$164.04	$232.11	$344.58
United Facility/Professional Professional Modifier Low / Median / High Price $126.87 / $211.58 / $306.00	Professional		$126.87	$211.58	$306.00