Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.57	Facility		$3.39	$3.39	$3.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.97 / $39.29 / $205.89	Facility	26	$21.97	$39.29	$205.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $16.96 / $77.50	Professional		$10.82	$16.96	$77.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $21.97 / $137.90	Professional	26	$10.82	$21.97	$137.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $16.88 / $26.17	Facility		$8.10	$16.88	$26.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $55.66 / $81.31	Professional		$42.95	$55.66	$81.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.29 / $39.88 / $69.70	Professional	26	$29.29	$39.88	$69.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $19.14 / $55.25	Facility		$5.33	$19.14	$55.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $92.07 / $131.08	Professional		$35.36	$92.07	$131.08
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $85.45 / $120.93	Professional	26	$32.83	$85.45	$120.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $116.92 / $145.71	Professional		$112.85	$116.92	$145.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $28.28 / $128.62	Professional		$19.14	$28.28	$128.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $35.31 / $120.43	Professional	26	$19.13	$35.31	$120.43