Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $181.97 / $223.87	Facility	26	$81.28	$181.97	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $954.99	Professional		$131.83	$257.04	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $173.78	Professional	26	$43.65	$57.54	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $162.18 / $316.23	Professional	TC	$83.18	$162.18	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $371.54 / $588.84	Professional		$141.25	$371.54	$588.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $97.72 / $125.89	Professional	26	$47.86	$97.72	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $239.88 / $467.74	Professional	TC	$93.33	$239.88	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $512.86	Professional		$177.83	$346.74	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $134.90	Professional	26	$51.29	$74.13	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $263.03 / $363.08	Professional	TC	$117.49	$263.03	$363.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $426.58	Professional		$186.21	$338.84	$426.58
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $63.10 / $85.11	Professional	26	$52.48	$63.10	$85.11
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $131.83 / $269.15	Professional	TC	$100.00	$131.83	$269.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $199.53	Professional		$67.61	$87.10	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $416.87	Professional		$134.90	$223.87	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $120.23	Professional	26	$42.66	$58.88	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $154.88 / $288.40	Professional	TC	$91.20	$154.88	$288.40