Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.68 / $321.00 / $420.91	Facility	26	$59.68	$321.00	$420.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $209.52 / $462.69	Professional		$117.32	$209.52	$462.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.05 / $76.15 / $369.70	Professional	26	$42.05	$76.15	$369.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $336.09 / $472.34	Professional		$144.69	$336.09	$472.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.91 / $112.38 / $149.44	Professional	26	$70.91	$112.38	$149.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.61 / $384.36 / $761.79	Professional		$202.61	$384.36	$761.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.89 / $93.19 / $194.70	Professional	26	$65.89	$93.19	$194.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $360.01 / $684.31	Professional		$191.40	$360.01	$684.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $52.87 / $103.11 / $194.06	Professional	26	$52.87	$103.11	$194.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $144.62 / $444.88	Professional		$125.00	$144.62	$444.88
United Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $294.54 / $596.65	Professional		$182.31	$294.54	$596.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.23 / $137.53 / $210.36	Professional	26	$72.23	$137.53	$210.36