Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.73 / $87.34 / $116.19	Facility	26	$28.73	$87.34	$116.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $132.34 / $256.14	Professional		$82.81	$132.34	$256.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.16 / $28.73 / $139.83	Professional	26	$20.16	$28.73	$139.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $98.34 / $188.65	Professional	TC	$59.92	$98.34	$188.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $161.47 / $220.66	Professional		$116.91	$161.47	$220.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.03 / $38.69 / $47.18	Professional	26	$22.03	$38.69	$47.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.82 / $117.30 / $177.87	Professional	TC	$90.82	$117.30	$177.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $154.97 / $291.43	Professional		$92.64	$154.97	$291.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.75 / $35.28 / $59.03	Professional	26	$28.75	$35.28	$59.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.93 / $119.49 / $235.65	Professional	TC	$61.93	$119.49	$235.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $108.92 / $165.03	Professional		$91.21	$108.92	$165.03
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $24.40 / $28.56 / $52.12	Professional	26	$24.40	$28.56	$52.12
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $66.08 / $110.29 / $195.69	Professional	TC	$66.08	$110.29	$195.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $47.92 / $79.34	Professional		$36.53	$47.92	$79.34
United Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $183.92 / $288.63	Professional		$97.03	$183.92	$288.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $37.25 / $56.92	Professional	26	$23.01	$37.25	$56.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.69 / $146.09 / $231.71	Professional	TC	$80.69	$146.09	$231.71