Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.81 / $178.32 / $288.06	Facility	26	$60.81	$178.32	$288.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $87.98 / $141.10	Professional		$55.57	$87.98	$141.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $60.81 / $127.43	Professional	26	$37.99	$60.81	$127.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $27.17 / $36.13	Professional	TC	$15.29	$27.17	$36.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $103.00 / $121.14	Professional		$60.89	$103.00	$121.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.27 / $71.30 / $83.86	Professional	26	$42.27	$71.30	$83.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.61 / $31.69 / $37.28	Professional	TC	$18.61	$31.69	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $85.97 / $158.47	Professional		$76.62	$85.97	$158.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.76 / $59.83 / $116.41	Professional	26	$51.76	$59.83	$116.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.79 / $26.97 / $50.57	Professional	TC	$23.79	$26.97	$50.57
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $73.36 / $75.95	Professional		$60.14	$73.36	$75.95
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $40.39 / $42.00 / $53.08	Professional	26	$40.39	$42.00	$53.08
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $20.52 / $22.88	Professional	TC	$19.73	$20.52	$22.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $79.87 / $79.87	Professional		$79.87	$79.87	$79.87
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $92.61 / $149.57	Professional		$64.12	$92.61	$149.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.07 / $65.38 / $106.69	Professional	26	$43.07	$65.38	$106.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $26.77 / $45.44	Professional	TC	$19.57	$26.77	$45.44