Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $134.90 / $186.21	Facility	26	$41.69	$134.90	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $234.42	Professional		$89.13	$117.49	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $95.50	Professional	26	$27.54	$42.66	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $77.62 / $144.54	Professional	TC	$61.66	$77.62	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $229.09	Professional		$95.50	$154.88	$229.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $47.86 / $69.18	Professional	26	$28.18	$47.86	$69.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $109.65 / $154.88	Professional	TC	$70.79	$109.65	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $269.15	Professional		$107.15	$162.18	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $48.98 / $85.11	Professional	26	$33.11	$48.98	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $112.20 / $194.98	Professional	TC	$70.79	$112.20	$194.98
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $177.83	Professional		$120.23	$141.25	$177.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $43.65 / $69.18	Professional	26	$37.15	$43.65	$69.18
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $107.15 / $154.88	Professional	TC	$89.13	$107.15	$154.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $67.61	Professional		$46.77	$53.70	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $218.78	Professional		$91.20	$131.83	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $66.07	Professional	26	$28.18	$39.81	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $154.88	Professional	TC	$63.10	$89.13	$154.88