Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $109.65 / $128.82	Facility	26	$34.67	$109.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $371.54	Professional		$46.77	$87.10	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $34.67 / $93.33	Professional	26	$22.39	$34.67	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $36.31 / $97.72	Professional	TC	$22.91	$36.31	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $199.53	Professional		$60.26	$141.25	$199.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $39.81 / $56.23	Professional	26	$26.92	$39.81	$56.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $91.20 / $147.91	Professional	TC	$32.36	$91.20	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $181.97	Professional		$69.18	$114.82	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $72.44	Professional	26	$29.51	$39.81	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $67.61 / $128.82	Professional	TC	$32.36	$67.61	$128.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $141.25	Professional		$79.43	$120.23	$141.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $37.15 / $43.65	Professional	26	$26.92	$37.15	$43.65
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $58.88 / $102.33	Professional	TC	$40.74	$58.88	$102.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $125.89	Professional		$38.90	$51.29	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $138.04	Professional		$50.12	$83.18	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.20 / $57.54	Professional	26	$21.88	$30.20	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $43.65 / $89.13	Professional	TC	$25.70	$43.65	$89.13