Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $186.21 / $218.78	Facility	26	$20.89	$186.21	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $257.04	Professional		$72.44	$112.20	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $45.71 / $269.15	Professional	26	$15.85	$45.71	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $64.57 / $199.53	Professional	TC	$43.65	$64.57	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $302.00	Professional		$95.50	$194.98	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $41.69 / $64.57	Professional	26	$27.54	$41.69	$64.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $147.91 / $257.04	Professional	TC	$51.29	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $660.69	Professional		$91.20	$204.17	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $31.62 / $97.72	Professional	26	$19.95	$31.62	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $144.54 / $645.65	Professional	TC	$64.57	$144.54	$645.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $645.65	Professional		$120.23	$275.42	$645.65
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $58.88 / $72.44	Professional	26	$16.98	$58.88	$72.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $77.62 / $173.78	Professional	TC	$61.66	$77.62	$173.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $245.47	Professional		$141.25	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $416.87	Professional		$83.18	$147.91	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $50.12 / $91.20	Professional	26	$17.78	$50.12	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $83.18 / $213.80	Professional	TC	$47.86	$83.18	$213.80