Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.47 / $82.35 / $104.19	Facility	26	$26.47	$82.35	$104.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $122.83 / $252.93	Professional		$85.40	$122.83	$252.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $23.77 / $47.67	Professional	26	$18.02	$23.77	$47.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $243.99 / $340.56	Professional		$109.52	$243.99	$340.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.25 / $50.68 / $70.73	Professional	26	$22.25	$50.68	$70.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $168.78 / $313.17	Professional		$108.77	$168.78	$313.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.45 / $32.47 / $54.38	Professional	26	$26.45	$32.47	$54.38
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $130.27 / $171.73	Professional		$111.62	$130.27	$171.73
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $25.83 / $47.39	Professional	26	$22.52	$25.83	$47.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $33.14 / $36.83	Professional		$33.14	$33.14	$36.83
United Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $194.98 / $279.63	Professional		$109.66	$194.98	$279.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.17 / $34.31 / $52.35	Professional	26	$21.17	$34.31	$52.35