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 $66.97 / $90.76 / $256.80	Professional		$66.97	$90.76	$256.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $37.51 / $175.73	Professional	26	$26.96	$37.51	$175.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $53.25 / $96.10	Professional	TC	$40.01	$53.25	$96.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $132.35 / $157.03	Professional		$75.47	$132.35	$157.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.89 / $56.22 / $67.00	Professional	26	$30.89	$56.22	$67.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.28 / $75.86 / $90.01	Professional	TC	$45.28	$75.86	$90.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $118.58 / $185.69	Professional		$96.94	$118.58	$185.69
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 $56.10 / $70.84 / $117.04	Professional	TC	$56.10	$70.84	$117.04
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $105.00 / $133.71	Professional		$85.79	$105.00	$133.71
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 $55.17 / $57.12 / $117.54	Professional	TC	$55.17	$57.12	$117.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $68.80 / $104.25	Professional		$47.73	$68.80	$104.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $116.12 / $181.77	Professional		$72.56	$116.12	$181.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.99 / $49.23 / $75.11	Professional	26	$30.99	$49.23	$75.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.28 / $69.45 / $106.66	Professional	TC	$41.28	$69.45	$106.66