Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $141.25 / $194.98	Facility	26	$43.65	$141.25	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $338.84	Professional		$67.61	$120.23	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.98 / $144.54	Professional	26	$28.84	$48.98	$144.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $229.09 / $776.25	Professional	50	$53.70	$229.09	$776.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $72.44 / $154.88	Professional	TC	$54.95	$72.44	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $218.78	Professional		$104.71	$144.54	$218.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.12 / $74.13	Professional	26	$34.67	$50.12	$74.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $218.78 / $323.59	Professional	50	$154.88	$218.78	$323.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $97.72 / $141.25	Professional	TC	$70.79	$97.72	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $275.42	Professional		$114.82	$154.88	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $91.20	Professional	26	$38.02	$50.12	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $104.71 / $186.21	Professional	TC	$75.86	$104.71	$186.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $177.83	Professional		$114.82	$138.04	$177.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $194.98	Professional	26	$33.11	$45.71	$194.98
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $95.50 / $194.98	Professional	TC	$69.18	$95.50	$194.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $162.18 / $371.54	Professional		$51.29	$162.18	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $208.93	Professional		$85.11	$120.23	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.90 / $67.61	Professional	26	$27.54	$38.90	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $79.43 / $141.25	Professional	TC	$56.23	$79.43	$141.25