Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.14 / $96.86 / $128.78	Facility	26	$31.14	$96.86	$128.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $113.12 / $490.00	Professional		$80.30	$113.12	$490.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.95 / $31.14 / $148.93	Professional	26	$21.95	$31.14	$148.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.95 / $81.98 / $207.77	Professional	TC	$58.95	$81.98	$207.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $194.21 / $263.20	Professional		$116.67	$194.21	$263.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $49.38 / $69.78	Professional	26	$26.85	$49.38	$69.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.04 / $145.16 / $193.41	Professional	TC	$92.04	$145.16	$193.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $182.33 / $299.85	Professional		$123.17	$182.33	$299.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $38.72 / $64.91	Professional	26	$31.11	$38.72	$64.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.09 / $141.62 / $238.73	Professional	TC	$95.09	$141.62	$238.73
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $128.50 / $162.84	Professional		$99.61	$128.50	$162.84
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.38 / $31.75 / $57.40	Professional	26	$26.38	$31.75	$57.40
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $73.23 / $114.58 / $196.37	Professional	TC	$73.23	$114.58	$196.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $52.67 / $52.67	Professional		$52.67	$52.67	$52.67
United Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $178.83 / $274.89	Professional		$102.99	$178.83	$274.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $42.20 / $64.03	Professional	26	$25.78	$42.20	$64.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.94 / $137.32 / $213.17	Professional	TC	$73.94	$137.32	$213.17