Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $82.69 / $110.31	Facility	26	$18.82	$82.69	$110.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $203.85 / $506.48	Professional		$63.78	$203.85	$506.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $56.76 / $100.00	Professional	26	$15.71	$56.76	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $465.65 / $615.88	Professional		$82.53	$465.65	$615.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.47 / $40.98 / $53.56	Professional	26	$18.47	$40.98	$53.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $162.32 / $241.86	Professional		$102.57	$162.32	$241.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $28.50 / $53.72	Professional	26	$20.74	$28.50	$53.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $150.04 / $176.94	Professional		$91.15	$150.04	$176.94
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $26.78 / $50.89	Professional	26	$16.89	$26.78	$50.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $35.06 / $69.38	Professional		$33.18	$35.06	$69.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $123.93 / $190.27	Professional		$73.76	$123.93	$190.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $35.53 / $54.56	Professional	26	$19.14	$35.53	$54.56