Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $137.94 / $162.34	Facility	26	$39.29	$137.94	$162.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $119.67 / $376.12	Professional		$83.49	$119.67	$376.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $39.29 / $175.53	Professional	26	$29.80	$39.29	$175.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $294.00 / $778.50 / $850.50	Professional	50	$294.00	$778.50	$850.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.37 / $80.38 / $133.97	Professional	TC	$58.37	$80.38	$133.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $156.44 / $201.22	Professional		$104.37	$156.44	$201.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $52.35 / $67.18	Professional	26	$34.34	$52.35	$67.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.91 / $234.68 / $296.11	Professional	50	$154.91	$234.68	$296.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.38 / $104.14 / $132.16	Professional	TC	$70.38	$104.14	$132.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.21 / $150.83 / $246.17	Professional		$123.21	$150.83	$246.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $49.93 / $81.78	Professional	26	$39.29	$49.93	$81.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.15 / $100.90 / $167.07	Professional	TC	$82.15	$100.90	$167.07
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $123.80 / $176.15	Professional		$112.37	$123.80	$176.15
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.76 / $38.25 / $62.87	Professional	26	$32.76	$38.25	$62.87
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $68.45 / $76.84 / $129.76	Professional	TC	$68.45	$76.84	$129.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $145.93 / $344.25	Professional		$33.22	$145.93	$344.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $143.60 / $217.98	Professional		$95.26	$143.60	$217.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.32 / $48.20 / $83.94	Professional	26	$31.32	$48.20	$83.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.94 / $103.91 / $143.63	Professional	TC	$63.94	$103.91	$143.63