Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.95 / $3,317.00 / $5,892.00	Facility		$382.95	$3,317.00	$5,892.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $2,228.39 / $4,483.00 / $5,230.39	Facility	25	$2,228.39	$4,483.00	$5,230.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.80 / $258.56 / $792.62	Professional		$180.80	$258.56	$792.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $203.14 / $330.93 / $1,359.25	Professional	25	$203.14	$330.93	$1,359.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.00 / $4,679.00 / $6,483.00	Facility		$1,942.00	$4,679.00	$6,483.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $310.62 / $429.18	Professional		$214.20	$310.62	$429.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $2,700.00 / $8,100.00	Facility		$2,700.00	$2,700.00	$8,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.33 / $328.65 / $550.15	Professional		$228.33	$328.65	$550.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $451.78 / $1,081.65	Professional		$261.42	$451.78	$1,081.65
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,071.00 / $3,071.00 / $3,071.00	Facility		$3,071.00	$3,071.00	$3,071.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $323.83 / $391.26 / $510.84	Professional		$323.83	$391.26	$510.84
United Facility/Professional Professional Modifier Low / Median / High Price $242.41 / $344.22 / $537.01	Professional		$242.41	$344.22	$537.01