Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.63 / $49.72 / $112.37	Facility	26	$27.63	$49.72	$112.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $79.79 / $166.56	Professional		$57.63	$79.79	$166.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $23.00 / $52.23	Professional	26	$15.86	$23.00	$52.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $91.10 / $120.11	Professional		$63.39	$91.10	$120.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $24.96 / $33.14	Professional	26	$16.63	$24.96	$33.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $103.44 / $222.27	Professional		$35.07	$103.44	$222.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.11 / $28.96 / $56.94	Professional	26	$23.11	$28.96	$56.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $73.91 / $96.99	Professional		$58.40	$73.91	$96.99
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $23.94 / $31.42	Professional	26	$15.93	$23.94	$31.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $146.19 / $154.69	Professional		$146.19	$146.19	$154.69
United Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $105.33 / $212.62	Professional		$55.85	$105.33	$212.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $29.36 / $53.80	Professional	26	$18.05	$29.36	$53.80