Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $645.65 / $1,000.00	Facility		$74.13	$645.65	$1,000.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $338.84 / $630.96 / $831.76	Facility	25	$338.84	$630.96	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $109.65	Professional		$30.20	$51.29	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,122.02 / $1,258.93	Facility		$537.03	$1,122.02	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $87.10	Professional		$37.15	$58.88	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $812.83 / $1,023.29	Facility		$489.78	$812.83	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $97.72	Professional		$34.67	$52.48	$97.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $100.00	Professional		$40.74	$67.61	$100.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $512.86	Facility		$501.19	$512.86	$512.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $74.13	Professional		$46.77	$66.07	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $85.11	Professional		$34.67	$51.29	$85.11