Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $167.77 / $223.63	Facility	26	$37.43	$167.77	$223.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $162.97 / $338.63	Professional		$109.45	$162.97	$338.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $45.71 / $173.54	Professional	26	$26.27	$45.71	$173.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $125.54 / $253.97	Professional	TC	$79.54	$125.54	$253.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $205.87 / $253.61	Professional		$138.63	$205.87	$253.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $58.07 / $77.93	Professional	26	$37.22	$58.07	$77.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.23 / $145.43 / $184.13	Professional	TC	$105.23	$145.43	$184.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $218.22 / $424.71	Professional		$121.81	$218.22	$424.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.43 / $55.51 / $103.22	Professional	26	$39.43	$55.51	$103.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.52 / $144.81 / $307.70	Professional	TC	$81.52	$144.81	$307.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $168.33 / $209.91	Professional		$133.41	$168.33	$209.91
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $31.92 / $53.20 / $101.09	Professional	26	$31.92	$53.20	$101.09
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $116.75 / $120.87 / $207.17	Professional	TC	$116.75	$120.87	$207.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $77.91 / $152.87	Professional		$67.12	$77.91	$152.87
United Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $214.84 / $341.64	Professional		$126.63	$214.84	$341.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.68 / $72.62 / $111.52	Professional	26	$37.68	$72.62	$111.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.66 / $150.86 / $230.12	Professional	TC	$88.66	$150.86	$230.12