Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.46 / $137.91 / $183.90	Facility	26	$62.46	$137.91	$183.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $190.25 / $775.00	Professional		$119.70	$190.25	$775.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.36 / $44.51 / $211.62	Professional	26	$36.36	$44.51	$211.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.29 / $128.80 / $487.00	Professional	TC	$72.29	$128.80	$487.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $340.80 / $475.68	Professional		$114.73	$340.80	$475.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $93.69 / $115.66	Professional	26	$40.74	$93.69	$115.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.98 / $245.37 / $369.49	Professional	TC	$73.98	$245.37	$369.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $288.64 / $415.27	Professional		$155.35	$288.64	$415.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $56.07 / $106.30	Professional	26	$45.56	$56.07	$106.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.54 / $223.96 / $318.58	Professional	TC	$101.54	$223.96	$318.58
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $256.22 / $330.33	Professional		$126.37	$256.22	$330.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $42.99 / $45.64 / $83.51	Professional	26	$42.99	$45.64	$83.51
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $77.98 / $97.09 / $177.64	Professional	TC	$77.98	$97.09	$177.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $83.80 / $124.81	Professional		$63.94	$83.80	$124.81
United Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $199.10 / $347.79	Professional		$111.30	$199.10	$347.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $60.19 / $125.03	Professional	26	$37.11	$60.19	$125.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.29 / $133.25 / $222.76	Professional	TC	$71.29	$133.25	$222.76