Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $234.42 / $588.84	Facility		$87.10	$234.42	$588.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $128.82 / $208.93	Facility	26	$35.48	$128.82	$208.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $123.03 / $229.09 / $354.81	Facility	TC	$123.03	$229.09	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $436.52	Professional		$70.79	$114.82	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $104.71	Professional	26	$23.99	$36.31	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $70.79 / $218.78	Professional	TC	$48.98	$70.79	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $269.15	Facility		$131.83	$190.55	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $204.17	Professional		$89.13	$144.54	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $39.81 / $57.54	Professional	26	$27.54	$39.81	$57.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $104.71 / $147.91	Professional	TC	$60.26	$104.71	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $229.09 / $380.19	Facility		$57.54	$229.09	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $257.04	Professional		$93.33	$138.04	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $39.81 / $74.13	Professional	26	$30.20	$39.81	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $91.20 / $173.78	Professional	TC	$63.10	$91.20	$173.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $151.36	Professional		$104.71	$123.03	$151.36
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $37.15 / $44.67	Professional	26	$27.54	$37.15	$44.67
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $85.11 / $109.65	Professional	TC	$70.79	$85.11	$109.65
Health New England Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $467.74	Facility		$169.82	$245.47	$467.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $177.83	Professional		$39.81	$56.23	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $186.21	Professional		$72.44	$109.65	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $56.23	Professional	26	$21.88	$31.62	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $77.62 / $128.82	Professional	TC	$48.98	$77.62	$128.82