Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.51 / $132.60 / $156.03	Facility	26	$37.51	$132.60	$156.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $120.39 / $445.00	Professional		$89.17	$120.39	$445.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $37.51 / $113.21	Professional	26	$26.96	$37.51	$113.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.21 / $82.88 / $149.57	Professional	TC	$62.21	$82.88	$149.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $174.56 / $207.11	Professional		$100.82	$174.56	$207.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.54 / $56.22 / $67.00	Professional	26	$28.54	$56.22	$67.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.62 / $118.09 / $140.10	Professional	TC	$72.62	$118.09	$140.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $156.72 / $246.77	Professional		$128.41	$156.72	$246.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.54 / $47.30 / $76.73	Professional	26	$37.54	$47.30	$76.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.58 / $110.05 / $182.51	Professional	TC	$87.58	$110.05	$182.51
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $139.68 / $176.93	Professional		$114.23	$139.68	$176.93
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $37.70 / $75.48	Professional	26	$36.40	$37.70	$75.48
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $85.59 / $88.61 / $182.15	Professional	TC	$85.59	$88.61	$182.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $99.93 / $260.25	Professional		$47.73	$99.93	$260.25
United Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $154.60 / $248.83	Professional		$93.87	$154.60	$248.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $50.02 / $87.34	Professional	26	$31.43	$50.02	$87.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.18 / $104.65 / $162.94	Professional	TC	$64.18	$104.65	$162.94