Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $94.20 / $262.86	Professional		$61.78	$94.20	$262.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $25.97 / $60.99	Professional	26	$15.33	$25.97	$60.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.02 / $71.90 / $108.24	Professional	TC	$45.02	$71.90	$108.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $145.90 / $192.47	Professional		$123.23	$145.90	$192.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.00 / $39.11 / $50.49	Professional	26	$29.00	$39.11	$50.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.18 / $105.81 / $150.10	Professional	TC	$89.18	$105.81	$150.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $57.08 / $57.08	Facility		$57.08	$57.08	$57.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $101.52 / $224.92	Professional		$44.83	$101.52	$224.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $30.88 / $53.43	Professional	26	$13.61	$30.88	$53.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.77 / $66.67 / $166.27	Professional	TC	$28.77	$66.67	$166.27
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $117.77 / $216.75	Professional		$40.02	$117.77	$216.75
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $40.02 / $69.52	Professional	26	$22.34	$40.02	$69.52
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $64.69 / $131.79 / $172.44	Professional	TC	$64.69	$131.79	$172.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $177.11 / $324.57	Professional		$54.06	$177.11	$324.57
United Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $150.07 / $292.99	Professional		$58.83	$150.07	$292.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $44.46 / $87.12	Professional	26	$16.05	$44.46	$87.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.46 / $127.50 / $221.56	Professional	TC	$51.46	$127.50	$221.56