Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.72 / $500.15 / $640.09	Facility	26	$149.72	$500.15	$640.09
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.36 / $130.41 / $305.42	Facility	53	$69.36	$130.41	$305.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.38 / $352.88 / $682.14	Professional		$273.38	$352.88	$682.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.75 / $159.88 / $586.00	Professional	26	$103.75	$159.88	$586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.87 / $669.65 / $1,010.82	Professional		$237.87	$669.65	$1,010.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.23 / $249.95 / $340.20	Professional	26	$105.23	$249.95	$340.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $440.18 / $788.15	Professional		$305.45	$440.18	$788.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.17 / $160.74 / $340.37	Professional	26	$124.17	$160.74	$340.37
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $394.20 / $531.75	Professional		$269.95	$394.20	$531.75
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $118.27 / $159.54 / $194.92	Professional	26	$118.27	$159.54	$194.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $210.65 / $255.80	Professional		$167.10	$210.65	$255.80
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $375.68 / $843.03	Professional		$251.18	$375.68	$843.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.77 / $159.69 / $365.93	Professional	26	$108.77	$159.69	$365.93