Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.99 / $120.75 / $140.31	Facility	26	$33.99	$120.75	$140.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $124.24 / $354.20	Professional		$84.82	$124.24	$354.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $33.99 / $104.07	Professional	26	$24.78	$33.99	$104.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $89.79 / $143.71	Professional	TC	$19.73	$89.79	$143.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $124.66 / $196.69	Professional		$53.77	$124.66	$196.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $45.67 / $67.76	Professional	26	$31.43	$45.67	$67.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.66 / $192.03 / $287.07	Professional	50	$80.66	$192.03	$287.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.83 / $88.51 / $148.33	Professional	TC	$11.83	$88.51	$148.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $142.27 / $203.27	Professional		$70.73	$142.27	$203.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.94 / $43.92 / $92.24	Professional	26	$33.94	$43.92	$92.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $73.92 / $146.97	Professional	TC	$15.45	$73.92	$146.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $132.99 / $184.11	Professional		$70.59	$132.99	$184.11
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $47.03 / $56.50	Professional	26	$26.52	$47.03	$56.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $12.22 / $15.11 / $90.30	Professional	TC	$12.22	$15.11	$90.30
Health New England Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $68.19 / $112.18	Professional		$65.69	$68.19	$112.18
United Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $104.62 / $189.03	Professional		$67.92	$104.62	$189.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $44.19 / $83.41	Professional	26	$25.75	$44.19	$83.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $44.37 / $114.02	Professional	TC	$18.04	$44.37	$114.02