Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.54 / $243.38 / $6,200.00	Facility		$182.54	$243.38	$6,200.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $173.03 / $173.03 / $419.05	Facility	25	$173.03	$173.03	$419.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $206.87 / $289.20	Professional		$155.07	$206.87	$289.20
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 $165.24 / $249.77 / $317.97	Professional		$165.24	$249.77	$317.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.00 / $292.00 / $292.00	Facility		$292.00	$292.00	$292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $246.49 / $380.12	Professional		$177.96	$246.49	$380.12
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $182.09 / $462.31	Professional		$115.26	$182.09	$462.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $204.22 / $274.00 / $364.92	Professional		$204.22	$274.00	$364.92
United Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $258.36 / $360.33	Professional		$177.88	$258.36	$360.33