Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.64 / $103.85 / $175.94	Facility		$91.64	$103.85	$175.94
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $229.84 / $9,071.00 / $11,087.00	Facility	25	$229.84	$9,071.00	$11,087.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $111.59 / $165.42	Professional		$76.47	$111.59	$165.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,317.00 / $6,860.00 / $9,938.00	Facility		$5,317.00	$6,860.00	$9,938.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $119.77 / $159.50	Professional		$73.61	$119.77	$159.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $119.67 / $191.63	Professional		$81.00	$119.67	$191.63
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $90.15 / $167.11	Professional		$66.09	$90.15	$167.11
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $144.75 / $172.67	Professional		$112.35	$144.75	$172.67
United Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $124.11 / $193.42	Professional		$83.55	$124.11	$193.42