Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $144.54 / $173.78	Facility	26	$45.71	$144.54	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $457.09	Professional		$104.71	$154.88	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.02 / $109.65	Professional	26	$25.12	$38.02	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $114.82 / $275.42	Professional	TC	$89.13	$114.82	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $323.59	Professional		$147.91	$218.78	$323.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $51.29 / $75.86	Professional	26	$35.48	$51.29	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $162.18 / $245.47	Professional	TC	$112.20	$162.18	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $426.58	Professional		$141.25	$213.80	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $51.29 / $95.50	Professional	26	$38.90	$51.29	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $165.96 / $323.59	Professional	TC	$102.33	$165.96	$323.59
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $229.09	Professional		$147.91	$181.97	$229.09
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $56.23	Professional	26	$34.67	$46.77	$56.23
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $147.91 / $186.21	Professional	TC	$114.82	$147.91	$186.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $54.95	Professional		$50.12	$52.48	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $302.00	Professional		$114.82	$165.96	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $41.69 / $74.13	Professional	26	$28.84	$41.69	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $125.89 / $229.09	Professional	TC	$87.10	$125.89	$229.09