Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $169.82 / $199.53	Facility	26	$41.69	$169.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $346.74	Professional		$102.33	$144.54	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $50.12 / $144.54	Professional	26	$30.90	$50.12	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $97.72 / $204.17	Professional	TC	$74.13	$97.72	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $263.03	Professional		$120.23	$181.97	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $52.48 / $83.18	Professional	26	$34.67	$52.48	$83.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $128.82 / $186.21	Professional	TC	$87.10	$128.82	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $407.38	Professional		$112.20	$190.55	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $53.70 / $91.20	Professional	26	$34.67	$53.70	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $134.90 / $281.84	Professional	TC	$75.86	$134.90	$281.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $208.93	Professional		$123.03	$147.91	$208.93
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $54.95 / $67.61	Professional	26	$31.62	$54.95	$67.61
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $125.89 / $158.49	Professional	TC	$91.20	$125.89	$158.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $87.10	Professional		$60.26	$69.18	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $275.42	Professional		$107.15	$162.18	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $48.98 / $85.11	Professional	26	$30.20	$48.98	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $112.20 / $194.98	Professional	TC	$74.13	$112.20	$194.98