Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.92 / $97.99 / $129.24	Facility	26	$41.92	$97.99	$129.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $157.40 / $536.00	Professional		$45.07	$157.40	$536.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $41.92 / $96.89	Professional	26	$24.03	$41.92	$96.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $90.44 / $220.00	Professional	TC	$23.73	$90.44	$220.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $183.19 / $268.58	Professional		$105.89	$183.19	$268.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.74 / $61.95 / $76.47	Professional	26	$27.74	$61.95	$76.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.45 / $115.02 / $199.96	Professional	TC	$78.45	$115.02	$199.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $153.21 / $314.88	Professional		$110.17	$153.21	$314.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.02 / $37.29 / $71.95	Professional	26	$31.02	$37.29	$71.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.41 / $110.91 / $234.42	Professional	TC	$77.41	$110.91	$234.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $119.26 / $189.38	Professional		$92.92	$119.26	$189.38
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $31.21 / $57.02	Professional	26	$25.26	$31.21	$57.02
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $80.04 / $88.26 / $150.96	Professional	TC	$80.04	$88.26	$150.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $60.00 / $164.95	Professional		$38.38	$60.00	$164.95
United Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $152.83 / $317.27	Professional		$91.76	$152.83	$317.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.89 / $42.30 / $84.71	Professional	26	$25.89	$42.30	$84.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.77 / $118.20 / $237.57	Professional	TC	$65.77	$118.20	$237.57