Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $204.52 / $269.77	Facility	26	$53.70	$204.52	$269.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $179.24 / $968.00	Professional		$165.06	$179.24	$968.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $53.70 / $95.20	Professional	26	$36.90	$53.70	$95.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.98 / $312.27 / $387.26	Professional		$197.98	$312.27	$387.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.23 / $81.31 / $100.08	Professional	26	$51.23	$81.31	$100.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $310.42 / $593.07	Professional		$163.81	$310.42	$593.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.13 / $74.81 / $127.52	Professional	26	$55.13	$74.81	$127.52
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $229.71 / $291.11	Professional		$170.91	$229.71	$291.11
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $45.35 / $67.31 / $123.18	Professional	26	$45.35	$67.31	$123.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $91.35 / $91.35	Professional		$91.35	$91.35	$91.35
United Facility/Professional Professional Modifier Low / Median / High Price $191.28 / $320.82 / $492.66	Professional		$191.28	$320.82	$492.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $87.94 / $135.03	Professional	26	$48.86	$87.94	$135.03