Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.35 / $259.85 / $378.34	Facility		$91.35	$259.85	$378.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.77 / $53.88 / $68.95	Facility	26	$17.77	$53.88	$68.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $98.50 / $462.00	Professional		$64.89	$98.50	$462.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $30.88 / $86.00	Professional	26	$12.48	$30.88	$86.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $73.59 / $212.14	Professional	TC	$52.84	$73.59	$212.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.83 / $203.54 / $283.60	Facility		$123.83	$203.54	$283.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $197.62 / $267.80	Professional		$94.17	$197.62	$267.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $34.70 / $47.49	Professional	26	$13.37	$34.70	$47.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.29 / $161.36 / $220.30	Professional	TC	$80.29	$161.36	$220.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $261.33 / $711.47	Facility		$158.72	$261.33	$711.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $134.52 / $233.08	Professional		$94.56	$134.52	$233.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $21.88 / $36.50	Professional	26	$17.57	$21.88	$36.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.26 / $107.06 / $194.16	Professional	TC	$75.26	$107.06	$194.16
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $110.05 / $142.50	Professional		$92.80	$110.05	$142.50
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $15.02 / $17.46 / $32.10	Professional	26	$15.02	$17.46	$32.10
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $74.25 / $98.12 / $174.09	Professional	TC	$74.25	$98.12	$174.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $34.45 / $45.76	Professional		$10.90	$34.45	$45.76
United Facility/Professional Professional Modifier Low / Median / High Price $84.21 / $137.26 / $217.70	Professional		$84.21	$137.26	$217.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.55 / $23.24 / $34.88	Professional	26	$14.55	$23.24	$34.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $119.85 / $184.98	Professional	TC	$71.81	$119.85	$184.98