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 $46.77 / $162.18 / $724.44	Professional		$46.77	$162.18	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $72.44 / $223.87	Professional	26	$44.67	$72.44	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $870.96 / $1,995.26	Professional	50	$467.74	$870.96	$1,995.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $165.96 / $416.87	Professional	TC	$85.11	$165.96	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $407.38 / $575.44	Professional		$144.54	$407.38	$575.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $97.72 / $125.89	Professional	26	$50.12	$97.72	$125.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $616.60 / $870.96	Professional	50	$208.93	$616.60	$870.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $288.40 / $457.09	Professional	TC	$95.50	$288.40	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $478.63	Professional		$177.83	$316.23	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $70.79 / $134.90	Professional	26	$50.12	$70.79	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $239.88 / $354.81	Professional	TC	$117.49	$239.88	$354.81
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $380.19	Professional		$186.21	$309.03	$380.19
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $63.10 / $79.43	Professional	26	$51.29	$63.10	$79.43
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $131.83 / $263.03	Professional	TC	$100.00	$131.83	$263.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $204.17	Professional		$66.07	$85.11	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $407.38	Professional		$134.90	$218.78	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $120.23	Professional	26	$42.66	$57.54	$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