Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.85 / $129.18 / $168.60	Facility	26	$42.85	$129.18	$168.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $148.69 / $557.11	Professional		$82.57	$148.69	$557.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $47.85 / $194.00	Professional	26	$33.34	$47.85	$194.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.32 / $58.00 / $118.22	Professional	TC	$40.32	$58.00	$118.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $131.93 / $169.31	Professional		$85.85	$131.93	$169.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.76 / $54.85 / $70.30	Professional	26	$35.76	$54.85	$70.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.57 / $77.00 / $99.84	Professional	TC	$49.57	$77.00	$99.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $135.02 / $205.65	Professional		$101.06	$135.02	$205.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.24 / $52.06 / $87.23	Professional	26	$39.24	$52.06	$87.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.20 / $82.88 / $137.27	Professional	TC	$56.20	$82.88	$137.27
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $109.48 / $148.26	Professional		$93.42	$109.48	$148.26
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $39.58 / $57.24	Professional	26	$35.36	$39.58	$57.24
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $54.49 / $56.75 / $89.57	Professional	TC	$54.49	$56.75	$89.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $138.09 / $196.72	Professional		$58.03	$138.09	$196.72
United Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $118.28 / $209.78	Professional		$76.59	$118.28	$209.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.14 / $51.85 / $87.17	Professional	26	$33.14	$51.85	$87.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.70 / $71.48 / $119.29	Professional	TC	$43.70	$71.48	$119.29