Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $164.44 / $1,697.19	Facility		$110.53	$164.44	$1,697.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $11,750.70 / $11,750.70 / $11,750.70	Facility	25	$11,750.70	$11,750.70	$11,750.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $146.38 / $207.21	Professional		$106.34	$146.38	$207.21
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 $118.66 / $186.11 / $219.79	Professional		$118.66	$186.11	$219.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $222.00 / $222.00	Facility		$222.00	$222.00	$222.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $179.60 / $258.11	Professional		$126.47	$179.60	$258.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $124.08 / $347.79	Professional		$82.62	$124.08	$347.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $202.40 / $266.26	Professional		$172.82	$202.40	$266.26
United Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $181.40 / $262.63	Professional		$121.76	$181.40	$262.63