Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $144.74 / $193.07	Facility	26	$37.43	$144.74	$193.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $140.99 / $577.00	Professional		$101.02	$140.99	$577.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $44.81 / $123.02	Professional	26	$26.27	$44.81	$123.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.95 / $103.56 / $195.64	Professional	TC	$74.95	$103.56	$195.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $196.68 / $235.54	Professional		$127.35	$196.68	$235.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.69 / $57.14 / $70.42	Professional	26	$36.69	$57.14	$70.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.88 / $139.43 / $169.66	Professional	TC	$91.88	$139.43	$169.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $186.18 / $345.40	Professional		$118.73	$186.18	$345.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.68 / $53.27 / $89.90	Professional	26	$38.68	$53.27	$89.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.44 / $132.90 / $261.48	Professional	TC	$78.44	$132.90	$261.48
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $147.19 / $186.54	Professional		$122.66	$147.19	$186.54
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $31.92 / $47.89 / $87.74	Professional	26	$31.92	$47.89	$87.74
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $93.67 / $107.64 / $190.96	Professional	TC	$93.67	$107.64	$190.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $64.66 / $131.59	Professional		$59.70	$64.66	$131.59
United Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $187.89 / $307.20	Professional		$111.60	$187.89	$307.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $60.94 / $97.12	Professional	26	$34.21	$60.94	$97.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.02 / $132.77 / $210.08	Professional	TC	$82.02	$132.77	$210.08