Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.73 / $130.97 / $174.64	Facility	26	$25.73	$130.97	$174.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $115.71 / $486.00	Professional		$82.73	$115.71	$486.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $25.73 / $71.20	Professional	26	$17.80	$25.73	$71.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $171.11 / $211.72	Professional		$106.08	$171.11	$211.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.75 / $39.88 / $60.84	Professional	26	$27.75	$39.88	$60.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $159.86 / $292.75	Professional		$89.26	$159.86	$292.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.33 / $38.03 / $81.40	Professional	26	$27.33	$38.03	$81.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $118.66 / $154.96	Professional		$96.04	$118.66	$154.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $21.57 / $41.89 / $79.31	Professional	26	$21.57	$41.89	$79.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $55.56 / $86.47	Professional		$43.01	$55.56	$86.47
United Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $172.30 / $268.47	Professional		$98.26	$172.30	$268.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $57.34 / $87.54	Professional	26	$29.78	$57.34	$87.54