Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.97 / $98.87 / $131.62	Facility	26	$24.97	$98.87	$131.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $98.15 / $442.00	Professional		$69.95	$98.15	$442.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $24.97 / $75.27	Professional	26	$17.12	$24.97	$75.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $73.19 / $161.35	Professional	TC	$52.84	$73.19	$161.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $142.81 / $171.63	Professional		$89.82	$142.81	$171.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.45 / $36.51 / $45.90	Professional	26	$24.45	$36.51	$45.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.38 / $105.66 / $124.45	Professional	TC	$65.38	$105.66	$124.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $131.25 / $245.96	Professional		$82.59	$131.25	$245.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.40 / $35.94 / $68.23	Professional	26	$26.40	$35.94	$68.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.13 / $95.30 / $189.38	Professional	TC	$56.13	$95.30	$189.38
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $103.94 / $131.72	Professional		$86.24	$103.94	$131.72
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $21.27 / $32.34 / $59.11	Professional	26	$21.27	$32.34	$59.11
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $68.12 / $77.22 / $136.93	Professional	TC	$68.12	$77.22	$136.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $44.02 / $81.83	Professional		$40.90	$44.02	$81.83
United Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $134.69 / $213.63	Professional		$78.76	$134.69	$213.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $42.24 / $64.48	Professional	26	$23.18	$42.24	$64.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.77 / $94.03 / $149.15	Professional	TC	$52.77	$94.03	$149.15