Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $107.02 / $139.25	Facility	26	$34.79	$107.02	$139.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $134.59 / $676.00	Professional		$75.59	$134.59	$676.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $34.79 / $115.89	Professional	26	$27.82	$34.79	$115.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.68 / $93.04 / $246.64	Professional	TC	$28.68	$93.04	$246.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $151.90 / $197.20	Professional		$100.21	$151.90	$197.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.56 / $40.99 / $53.27	Professional	26	$28.56	$40.99	$53.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.58 / $106.71 / $148.56	Professional	TC	$65.58	$106.71	$148.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $156.29 / $274.58	Professional		$88.04	$156.29	$274.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.58 / $43.22 / $71.70	Professional	26	$34.58	$43.22	$71.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.24 / $106.54 / $197.39	Professional	TC	$54.24	$106.54	$197.39
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $132.90 / $150.36	Professional		$111.35	$132.90	$150.36
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $29.73 / $33.06 / $47.17	Professional	26	$29.73	$33.06	$47.17
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $79.56 / $92.99 / $131.07	Professional	TC	$79.56	$92.99	$131.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $91.55 / $231.06	Professional		$46.64	$91.55	$231.06
United Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $142.77 / $255.38	Professional		$92.16	$142.77	$255.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.35 / $41.85 / $74.67	Professional	26	$27.35	$41.85	$74.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.92 / $99.29 / $180.71	Professional	TC	$57.92	$99.29	$180.71