Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.95 / $197.92 / $254.32	Facility	26	$59.95	$197.92	$254.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $78.34 / $128.26	Professional		$58.04	$78.34	$128.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $44.51 / $71.62	Professional	26	$38.17	$44.51	$71.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $150.02 / $213.10	Professional		$62.70	$150.02	$213.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.59 / $82.85 / $137.93	Professional	26	$39.59	$82.85	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $105.34 / $229.45	Professional		$83.39	$105.34	$229.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.08 / $66.67 / $133.94	Professional	26	$50.08	$66.67	$133.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $113.07 / $208.93	Professional		$92.24	$113.07	$208.93
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $54.08 / $66.28 / $109.05	Professional	26	$54.08	$66.28	$109.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $63.40 / $63.40	Professional		$63.40	$63.40	$63.40
United Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $99.18 / $241.64	Professional		$62.58	$99.18	$241.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.45 / $58.52 / $137.18	Professional	26	$37.45	$58.52	$137.18