Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.46 / $157.66 / $190.24	Facility	26	$62.46	$157.66	$190.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $431.80 / $908.74	Professional		$154.81	$431.80	$908.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.21 / $62.46 / $242.21	Professional	26	$39.21	$62.46	$242.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $55.16 / $104.59 / $214.88	Professional	52	$55.16	$104.59	$214.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.43 / $177.61 / $662.59	Professional	TC	$101.43	$177.61	$662.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $445.91 / $638.04	Professional		$139.02	$445.91	$638.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.10 / $119.64 / $143.05	Professional	26	$41.10	$119.64	$143.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.92 / $328.72 / $495.00	Professional	TC	$97.92	$328.72	$495.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.64 / $317.92 / $519.86	Professional		$187.64	$317.92	$519.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $70.58 / $119.80	Professional	26	$51.86	$70.58	$119.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.50 / $236.36 / $369.62	Professional	TC	$133.50	$236.36	$369.62
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $298.08 / $388.25	Professional		$151.94	$298.08	$388.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $53.40 / $84.17	Professional	26	$44.46	$53.40	$84.17
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $102.31 / $127.41 / $236.61	Professional	TC	$102.31	$127.41	$236.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $104.45 / $335.23	Professional		$62.10	$104.45	$335.23
United Facility/Professional Professional Modifier Low / Median / High Price $139.36 / $249.00 / $414.73	Professional		$139.36	$249.00	$414.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.25 / $70.31 / $128.83	Professional	26	$41.25	$70.31	$128.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.35 / $163.69 / $294.83	Professional	TC	$94.35	$163.69	$294.83