Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.74 / $126.57 / $204.46	Facility	26	$43.74	$126.57	$204.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $112.59 / $1,041.00	Professional		$48.71	$112.59	$1,041.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.74 / $316.49 / $955.44	Professional	26	$39.74	$316.49	$955.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $57.94 / $173.00	Professional	TC	$35.34	$57.94	$173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $110.43 / $132.44	Professional		$65.94	$110.43	$132.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $50.92 / $59.90	Professional	26	$31.41	$50.92	$59.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.53 / $59.50 / $72.55	Professional	TC	$34.53	$59.50	$72.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $105.69 / $172.73	Professional		$86.65	$105.69	$172.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $42.75 / $83.31	Professional	26	$36.90	$42.75	$83.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.15 / $67.98 / $95.64	Professional	TC	$45.15	$67.98	$95.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $90.69 / $101.84	Professional		$67.97	$90.69	$101.84
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $28.81 / $29.95 / $37.81	Professional	26	$28.81	$29.95	$37.81
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $39.21 / $40.72	Professional	TC	$39.15	$39.21	$40.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $277.52 / $1,006.26	Professional		$156.47	$277.52	$1,006.26
United Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $97.09 / $155.07	Professional		$67.26	$97.09	$155.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.37 / $46.41 / $74.45	Professional	26	$28.37	$46.41	$74.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.31 / $50.33 / $81.48	Professional	TC	$35.31	$50.33	$81.48