Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $104.71 / $147.91	Facility	26	$46.77	$104.71	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $120.23 / $501.19	Professional		$54.95	$120.23	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.02 / $91.20	Professional	26	$23.99	$38.02	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $85.11 / $218.78	Professional	TC	$23.99	$85.11	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $257.04	Professional		$104.71	$165.96	$257.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $54.95 / $72.44	Professional	26	$28.18	$54.95	$72.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $104.71 / $186.21	Professional	TC	$77.62	$104.71	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $354.81	Professional		$87.10	$154.88	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $39.81 / $85.11	Professional	26	$28.84	$39.81	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $112.20 / $263.03	Professional	TC	$61.66	$112.20	$263.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $169.82	Professional		$102.33	$120.23	$169.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $36.31 / $43.65	Professional	26	$25.12	$36.31	$43.65
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $100.00 / $125.89	Professional	TC	$79.43	$100.00	$125.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $169.82	Professional		$38.02	$51.29	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $251.19	Professional		$87.10	$125.89	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.88 / $69.18	Professional	26	$23.99	$33.88	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $91.20 / $186.21	Professional	TC	$61.66	$91.20	$186.21