Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.84 / $705.00 / $5,934.00	Facility		$147.84	$705.00	$5,934.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,027.17 / $1,926.51 / $6,966.12	Facility	25	$1,027.17	$1,926.51	$6,966.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $120.76 / $627.79	Professional		$87.49	$120.76	$627.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $111.21 / $431.14 / $1,367.64	Professional	25	$111.21	$431.14	$1,367.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,679.00 / $4,679.00 / $8,884.00	Facility		$4,679.00	$4,679.00	$8,884.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $143.02 / $197.34	Professional		$107.27	$143.02	$197.34
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 $111.43 / $148.28 / $259.43	Professional		$111.43	$148.28	$259.43
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $180.87 / $321.93	Professional		$116.43	$180.87	$321.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $203.15 / $438.69	Professional		$166.63	$203.15	$438.69
United Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $151.19 / $229.70	Professional		$106.58	$151.19	$229.70
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $234.81	Professional	25	$80.00	$85.00	$234.81