Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.09 / $1,686.43 / $3,620.00	Facility		$119.09	$1,686.43	$3,620.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $502.11 / $1,391.57 / $3,764.24	Facility	25	$502.11	$1,391.57	$3,764.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $119.09 / $204.65	Professional		$84.64	$119.09	$204.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $107.70 / $285.18 / $552.30	Professional	25	$107.70	$285.18	$552.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,364.00 / $2,245.00 / $2,761.00	Facility		$1,364.00	$2,245.00	$2,761.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $184.25 / $235.54	Professional		$111.08	$184.25	$235.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $1,391.00 / $4,400.00	Facility		$1,345.00	$1,391.00	$4,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $157.54 / $300.42	Professional		$119.90	$157.54	$300.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $184.81 / $346.49	Professional		$111.43	$184.81	$346.49
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,816.21 / $1,816.21 / $1,935.85	Facility		$1,816.21	$1,816.21	$1,935.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $174.32 / $270.68	Professional		$167.73	$174.32	$270.68
United Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $161.56 / $248.99	Professional		$103.68	$161.56	$248.99