Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.87 / $157.41 / $220.50	Facility	26	$41.87	$157.41	$220.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $147.84 / $700.00	Professional		$42.64	$147.84	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $41.87 / $142.34	Professional	26	$29.45	$41.87	$142.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.87 / $106.64 / $531.00	Professional	TC	$77.87	$106.64	$531.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $223.46 / $277.44	Professional		$112.78	$223.46	$277.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.19 / $61.28 / $72.70	Professional	26	$33.19	$61.28	$72.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.59 / $159.54 / $204.73	Professional	TC	$79.59	$159.54	$204.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $192.51 / $308.45	Professional		$148.37	$192.51	$308.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.66 / $53.59 / $90.13	Professional	26	$43.66	$53.59	$90.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $138.53 / $238.95	Professional	TC	$104.71	$138.53	$238.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $202.56 / $319.72	Professional		$140.52	$202.56	$319.72
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $128.38 / $141.85	Professional	26	$41.89	$128.38	$141.85
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $100.08 / $161.00 / $177.87	Professional	TC	$100.08	$161.00	$177.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $115.50 / $348.53	Professional		$63.53	$115.50	$348.53
United Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $190.99 / $336.63	Professional		$119.47	$190.99	$336.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.20 / $57.71 / $98.00	Professional	26	$34.20	$57.71	$98.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.92 / $142.69 / $260.33	Professional	TC	$89.92	$142.69	$260.33