Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $93.33 / $109.65	Facility	26	$29.51	$93.33	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $263.03	Professional		$91.20	$123.03	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $48.98	Professional	26	$18.20	$21.88	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $331.13	Professional		$97.72	$218.78	$331.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $42.66 / $69.18	Professional	26	$21.38	$42.66	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $380.19	Professional		$104.71	$173.78	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.11 / $54.95	Professional	26	$22.39	$33.11	$54.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $190.55	Professional		$112.20	$134.90	$190.55
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.90 / $37.15	Professional	26	$22.39	$30.90	$37.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $263.03	Professional		$100.00	$147.91	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.18 / $46.77	Professional	26	$19.05	$28.18	$46.77