Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $158.49	Facility		$69.18	$125.89	$158.49
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	25	$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $208.93	Professional		$56.23	$85.11	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,456.54 / $7,244.36	Facility		$6,025.60	$6,456.54	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $104.71 / $134.90	Professional		$1.00	$104.71	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $151.36	Professional		$70.79	$104.71	$151.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $147.91	Professional		$42.66	$87.10	$147.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $169.82	Professional		$93.33	$128.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $154.88	Professional		$64.57	$97.72	$154.88