Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.41 / $1,166.00 / $3,286.59	Facility		$55.41	$1,166.00	$3,286.59
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,076.38 / $1,633.84 / $3,506.00	Facility	25	$1,076.38	$1,633.84	$3,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $65.70 / $120.57	Professional		$49.28	$65.70	$120.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.84 / $224.98 / $329.31	Professional	25	$72.84	$224.98	$329.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.00 / $1,588.74 / $2,245.00	Facility		$1,223.00	$1,588.74	$2,245.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $97.29 / $132.85	Professional		$65.86	$97.29	$132.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $1,345.00 / $4,400.00	Facility		$1,088.00	$1,345.00	$4,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $86.01 / $176.93	Professional		$68.89	$86.01	$176.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $106.88 / $181.55	Professional		$59.09	$106.88	$181.55
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,204.42 / $1,204.42 / $1,204.42	Facility		$1,204.42	$1,204.42	$1,204.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $111.03 / $156.78	Professional		$93.98	$111.03	$156.78
United Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $90.34 / $137.68	Professional		$59.08	$90.34	$137.68