Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.40 / $128.72 / $171.60	Facility	26	$58.40	$128.72	$171.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $129.27 / $449.30	Professional		$73.03	$129.27	$449.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $58.40 / $223.59	Professional	26	$34.07	$58.40	$223.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.94 / $51.12 / $213.98	Professional	TC	$32.94	$51.12	$213.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $152.90 / $216.11	Professional		$69.76	$152.90	$216.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $67.23 / $95.01	Professional	26	$36.22	$67.23	$95.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $85.66 / $110.70	Professional	TC	$37.11	$85.66	$110.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $172.67 / $290.79	Professional		$91.78	$172.67	$290.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.96 / $53.19 / $87.81	Professional	26	$42.96	$53.19	$87.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.82 / $96.05 / $191.94	Professional	TC	$48.82	$96.05	$191.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $140.79 / $220.95	Professional		$90.63	$140.79	$220.95
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $42.63 / $77.88	Professional	26	$36.29	$42.63	$77.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $48.01 / $54.83 / $102.69	Professional	TC	$48.01	$54.83	$102.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $97.32 / $125.25	Professional		$54.54	$97.32	$125.25
United Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $128.63 / $215.04	Professional		$68.81	$128.63	$215.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.42 / $56.24 / $115.06	Professional	26	$35.42	$56.24	$115.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $62.51 / $104.54	Professional	TC	$32.96	$62.51	$104.54