Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $144.54 / $177.83	Facility	26	$64.57	$144.54	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $436.52	Professional		$70.79	$102.33	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $51.29 / $199.53	Professional	26	$33.88	$51.29	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $52.48 / $218.78	Professional	TC	$32.36	$52.48	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $213.80	Professional		$61.66	$134.90	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $60.26 / $91.20	Professional	26	$34.67	$60.26	$91.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $70.79 / $102.33	Professional	TC	$26.92	$70.79	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $257.04	Professional		$72.44	$151.36	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $53.70 / $89.13	Professional	26	$37.15	$53.70	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $87.10 / $177.83	Professional	TC	$31.62	$87.10	$177.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $223.87	Professional		$91.20	$141.25	$223.87
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $50.12 / $60.26	Professional	26	$36.31	$50.12	$60.26
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $61.66 / $87.10	Professional	TC	$50.12	$61.66	$87.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $79.43	Professional		$52.48	$67.61	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $204.17	Professional		$61.66	$100.00	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $45.71 / $95.50	Professional	26	$33.88	$45.71	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $48.98 / $109.65	Professional	TC	$28.18	$48.98	$109.65