Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.91 / $157.01 / $208.33	Facility	26	$18.91	$157.01	$208.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $145.06 / $323.38	Professional		$69.90	$145.06	$323.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $24.17 / $273.32	Professional	26	$13.38	$24.17	$273.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.37 / $94.75 / $299.19	Professional	TC	$55.37	$94.75	$299.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $218.36 / $300.70	Professional		$96.44	$218.36	$300.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.45 / $40.19 / $64.55	Professional	26	$31.45	$40.19	$64.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.89 / $183.46 / $258.20	Professional	TC	$51.89	$183.46	$258.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.89 / $258.64 / $711.30	Professional		$116.89	$258.64	$711.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $30.57 / $96.65	Professional	26	$21.66	$30.57	$96.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.86 / $201.96 / $687.50	Professional	TC	$70.86	$201.96	$687.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $227.18 / $638.96	Professional		$111.25	$227.18	$638.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $50.01 / $94.42	Professional	26	$16.89	$50.01	$94.42
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $57.45 / $71.50 / $147.66	Professional	TC	$57.45	$71.50	$147.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $82.00 / $140.74	Professional		$39.00	$82.00	$140.74
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $155.71 / $339.71	Professional		$93.25	$155.71	$339.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.79 / $69.72 / $104.43	Professional	26	$23.79	$69.72	$104.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.67 / $92.81 / $184.08	Professional	TC	$56.67	$92.81	$184.08