Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $114.82 / $134.90	Facility	26	$28.18	$114.82	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $234.42	Professional		$72.44	$102.33	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.88 / $97.72	Professional	26	$20.89	$33.88	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $72.44 / $151.36	Professional	TC	$52.48	$72.44	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $181.97	Professional		$87.10	$134.90	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $34.67 / $52.48	Professional	26	$23.99	$34.67	$52.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $134.90	Professional	TC	$61.66	$95.50	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $288.40	Professional		$75.86	$134.90	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $74.13	Professional	26	$23.99	$36.31	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $95.50 / $204.17	Professional	TC	$53.70	$95.50	$204.17
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $144.54	Professional		$85.11	$104.71	$144.54
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $37.15 / $44.67	Professional	26	$21.38	$37.15	$44.67
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $91.20 / $114.82	Professional	TC	$64.57	$91.20	$114.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $60.26	Professional		$39.81	$43.65	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $194.98	Professional		$74.13	$114.82	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $56.23	Professional	26	$22.39	$33.88	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $81.28 / $138.04	Professional	TC	$52.48	$81.28	$138.04