Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.17 / $107.17 / $107.17	Facility		$107.17	$107.17	$107.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $34.79 / $64.59	Professional		$22.80	$34.79	$64.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.97 / $118.07 / $172.00	Professional	25	$113.97	$118.07	$172.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.09 / $16.97 / $23.72	Professional	52	$11.09	$16.97	$23.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $46.28 / $68.47	Professional		$33.26	$46.28	$68.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $809.30 / $1,848.63 / $2,469.56	Facility		$809.30	$1,848.63	$2,469.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $64.95 / $110.28	Professional		$47.07	$64.95	$110.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $50.72 / $140.47	Professional		$49.47	$50.72	$140.47
United Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $61.29 / $117.49	Professional		$38.36	$61.29	$117.49