Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.60 / $206.85 / $271.33	Facility	26	$92.60	$206.85	$271.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $408.71 / $620.60	Professional		$215.04	$408.71	$620.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $92.60 / $159.40	Professional	26	$46.93	$92.60	$159.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.15 / $654.55 / $913.63	Professional		$227.15	$654.55	$913.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.22 / $140.91 / $173.97	Professional	26	$60.22	$140.91	$173.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.37 / $520.72 / $788.58	Professional		$291.37	$520.72	$788.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.59 / $84.19 / $157.50	Professional	26	$68.59	$84.19	$157.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $487.42 / $606.63	Professional		$235.84	$487.42	$606.63
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $68.08 / $124.56	Professional	26	$64.87	$68.08	$124.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $186.74 / $186.74 / $186.74	Professional		$186.74	$186.74	$186.74
United Facility/Professional Professional Modifier Low / Median / High Price $223.41 / $372.79 / $662.00	Professional		$223.41	$372.79	$662.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.60 / $89.53 / $183.23	Professional	26	$56.60	$89.53	$183.23