Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,288.25 / $3,388.44	Facility		$72.44	$1,288.25	$3,388.44
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $954.99 / $1,819.70 / $3,801.89	Facility	25	$954.99	$1,819.70	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $177.83	Professional		$50.12	$67.61	$177.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $141.25 / $309.03	Professional	25	$63.10	$141.25	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $2,454.71	Facility		$1,288.25	$2,238.72	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $147.91	Professional		$63.10	$93.33	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $4,168.69	Facility		$1,096.48	$1,348.96	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $165.96	Professional		$61.66	$83.18	$165.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $154.88	Professional		$69.18	$117.49	$154.88
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $549.54	Professional		$81.28	$128.82	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $138.04	Professional		$57.54	$79.43	$138.04