Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $87.33 / $154.87	Facility		$65.50	$87.33	$154.87
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $151.41 / $151.41 / $151.41	Facility	25	$151.41	$151.41	$151.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $84.00 / $126.19	Professional		$62.32	$84.00	$126.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,972.00 / $6,185.00 / $6,872.00	Facility		$5,972.00	$6,185.00	$6,872.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $103.98 / $125.87	Professional		$72.09	$103.98	$125.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $129.00 / $129.00	Facility		$129.00	$129.00	$129.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $96.64 / $138.19	Professional		$70.41	$96.64	$138.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $65.53 / $217.24	Professional		$43.00	$65.53	$217.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $126.28 / $169.96	Professional		$94.18	$126.28	$169.96
United Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $113.01 / $149.72	Professional		$70.92	$113.01	$149.72