Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $380.19	Facility		$114.82	$275.42	$380.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $107.15 / $125.89	Facility	26	$33.88	$107.15	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $275.42	Professional		$72.44	$117.49	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $34.67 / $85.11	Professional	26	$21.38	$34.67	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $79.43 / $165.96	Professional	TC	$50.12	$79.43	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $223.87	Facility		$104.71	$165.96	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $173.78	Professional		$75.86	$120.23	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $36.31 / $48.98	Professional	26	$17.78	$36.31	$48.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $81.28 / $134.90	Professional	TC	$57.54	$81.28	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $380.19	Facility		$131.83	$234.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $257.04	Professional		$93.33	$134.90	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $36.31 / $61.66	Professional	26	$29.51	$36.31	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $123.03 / $281.84	Professional	TC	$58.88	$123.03	$281.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $165.96	Professional		$87.10	$117.49	$165.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $30.90 / $36.31	Professional	26	$30.90	$30.90	$36.31
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $58.88 / $128.82	Professional	TC	$58.88	$58.88	$128.82
Health New England Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $165.96	Professional		$64.57	$64.57	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $213.80	Professional		$72.44	$120.23	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $32.36 / $51.29	Professional	26	$18.62	$32.36	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $95.50 / $162.18	Professional	TC	$47.86	$95.50	$162.18