Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $204.17 / $288.40	Facility	26	$67.61	$204.17	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $199.53	Professional		$52.48	$79.43	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $295.12	Professional	26	$38.02	$57.54	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.39 / $58.88	Professional	TC	$15.14	$22.39	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $154.88	Professional		$63.10	$102.33	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $70.79 / $112.20	Professional	26	$43.65	$70.79	$112.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $31.62 / $44.67	Professional	TC	$17.78	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $154.88	Professional		$75.86	$93.33	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $107.15	Professional	26	$51.29	$64.57	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.84 / $46.77	Professional	TC	$23.44	$28.84	$46.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $87.10	Professional		$60.26	$74.13	$87.10
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $53.70 / $63.10	Professional	26	$40.74	$53.70	$63.10
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $23.99 / $28.18	Professional	TC	$19.95	$23.99	$28.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $147.91	Professional		$56.23	$87.10	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $60.26 / $102.33	Professional	26	$38.02	$60.26	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.30 / $44.67	Professional	TC	$16.22	$26.30	$44.67