Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $147.91 / $208.93	Facility	26	$44.67	$147.91	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $630.96	Professional		$100.00	$181.97	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $134.90	Professional	26	$32.36	$48.98	$134.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.91 / $95.50 / $478.63	Professional	52	$22.91	$95.50	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $104.71 / $257.04	Professional	TC	$79.43	$104.71	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $288.40	Professional		$104.71	$204.17	$288.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $52.48 / $79.43	Professional	26	$28.18	$52.48	$79.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $147.91 / $218.78	Professional	TC	$77.62	$147.91	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $338.84	Professional		$134.90	$199.53	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $89.13	Professional	26	$36.31	$52.48	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $147.91 / $263.03	Professional	TC	$95.50	$147.91	$263.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $331.13	Professional		$151.36	$181.97	$331.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $109.65 / $141.25	Professional	26	$40.74	$109.65	$141.25
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $158.49 / $208.93	Professional	TC	$117.49	$158.49	$208.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $354.81	Professional		$53.70	$97.72	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $295.12	Professional		$117.49	$169.82	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $44.67 / $81.28	Professional	26	$29.51	$44.67	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $125.89 / $218.78	Professional	TC	$85.11	$125.89	$218.78