Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.79 / $126.91 / $163.85	Facility	26	$40.79	$126.91	$163.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $175.93 / $262.38	Professional		$125.20	$175.93	$262.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $40.79 / $122.99	Professional	26	$28.59	$40.79	$122.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.24 / $135.13 / $236.69	Professional	TC	$96.24	$135.13	$236.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.66 / $228.86 / $293.69	Professional		$148.66	$228.86	$293.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $53.85 / $69.09	Professional	26	$35.15	$53.85	$69.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.09 / $174.43 / $224.58	Professional	TC	$114.09	$174.43	$224.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $236.02 / $405.71	Professional		$144.15	$236.02	$405.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.51 / $51.26 / $84.84	Professional	26	$39.51	$51.26	$84.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.63 / $181.46 / $308.04	Professional	TC	$104.63	$181.46	$308.04
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $174.41 / $211.19	Professional		$149.86	$174.41	$211.19
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $34.71 / $39.34 / $54.06	Professional	26	$34.71	$39.34	$54.06
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $115.13 / $125.93 / $162.27	Professional	TC	$115.13	$125.93	$162.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $103.18 / $112.24	Professional		$50.22	$103.18	$112.24
United Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $210.94 / $381.75	Professional		$126.20	$210.94	$381.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $49.98 / $90.51	Professional	26	$30.47	$49.98	$90.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.48 / $173.36 / $291.24	Professional	TC	$102.48	$173.36	$291.24