Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.43 / $93.04 / $212.72	Facility	26	$52.43	$93.04	$212.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $88.19 / $226.04	Professional		$71.19	$88.19	$226.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $39.57 / $117.08	Professional	26	$32.72	$39.57	$117.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $106.73 / $157.35	Professional		$68.83	$106.73	$157.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $46.32 / $68.88	Professional	26	$31.53	$46.32	$68.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $130.40 / $256.45	Professional		$103.06	$130.40	$256.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.63 / $55.34 / $109.01	Professional	26	$41.63	$55.34	$109.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $112.61 / $164.62	Professional		$94.68	$112.61	$164.62
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $41.56 / $48.68 / $74.69	Professional	26	$41.56	$48.68	$74.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $56.59 / $58.03	Professional		$55.94	$56.59	$58.03
United Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $134.52 / $248.11	Professional		$84.81	$134.52	$248.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.95 / $60.69 / $115.02	Professional	26	$38.95	$60.69	$115.02