Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $218.78	Facility		$91.20	$177.83	$218.78
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $229.09 / $229.09 / $10,964.78	Facility	25	$229.09	$229.09	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $239.88	Professional		$66.07	$112.20	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,244.36 / $10,000.00	Facility		$6,025.60	$7,244.36	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $123.03 / $173.78	Professional		$1.00	$123.03	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $194.98	Professional		$83.18	$123.03	$194.98
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $147.91	Professional		$66.07	$91.20	$147.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $177.83	Professional		$117.49	$144.54	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $199.53	Professional		$77.62	$114.82	$199.53