Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.27 / $236.89 / $382.68	Facility	26	$80.27	$236.89	$382.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $220.51 / $3,660.00	Professional		$137.58	$220.51	$3,660.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.86 / $217.65 / $996.00	Professional	26	$59.86	$217.65	$996.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.90 / $111.06 / $458.36	Professional	TC	$83.90	$111.06	$458.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $238.67 / $284.83	Professional		$125.51	$238.67	$284.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.31 / $98.79 / $118.48	Professional	26	$58.31	$98.79	$118.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.20 / $141.08 / $167.10	Professional	TC	$67.20	$141.08	$167.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $240.80 / $345.17	Professional		$167.44	$240.80	$345.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.91 / $80.90 / $153.18	Professional	26	$70.91	$80.90	$153.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.89 / $165.38 / $232.27	Professional	TC	$88.89	$165.38	$232.27
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $203.77 / $232.04	Professional		$142.36	$203.77	$232.04
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $57.30 / $59.57 / $69.40	Professional	26	$57.30	$59.57	$69.40
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $77.98 / $96.32	Professional	TC	$75.31	$77.98	$96.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $515.01 / $1,867.39	Professional		$113.05	$515.01	$1,867.39
United Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $186.58 / $299.70	Professional		$130.16	$186.58	$299.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.73 / $86.86 / $139.35	Professional	26	$59.73	$86.86	$139.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.09 / $99.05 / $160.40	Professional	TC	$69.09	$99.05	$160.40