Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.09 / $90.83 / $120.82	Facility	26	$29.09	$90.83	$120.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $110.69 / $474.00	Professional		$68.50	$110.69	$474.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.41 / $32.43 / $132.83	Professional	26	$20.41	$32.43	$132.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.47 / $69.26 / $218.03	Professional	TC	$48.47	$69.26	$218.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $146.74 / $176.04	Professional		$89.90	$146.74	$176.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.73 / $37.82 / $47.74	Professional	26	$22.73	$37.82	$47.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.18 / $108.58 / $131.54	Professional	TC	$67.18	$108.58	$131.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.59 / $145.38 / $283.25	Professional		$103.59	$145.38	$283.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.06 / $36.56 / $59.78	Professional	26	$29.06	$36.56	$59.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.53 / $106.87 / $211.03	Professional	TC	$74.53	$106.87	$211.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $116.08 / $139.12	Professional		$102.65	$116.08	$139.12
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $29.70 / $54.21	Professional	26	$25.04	$29.70	$54.21
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $76.98 / $86.30 / $147.60	Professional	TC	$76.98	$86.30	$147.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $156.68 / $211.52	Professional		$36.96	$156.68	$211.52
United Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $136.06 / $211.51	Professional		$83.37	$136.06	$211.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $39.06 / $59.97	Professional	26	$24.66	$39.06	$59.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.61 / $95.55 / $151.91	Professional	TC	$60.61	$95.55	$151.91