Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $123.73 / $304.44	Professional		$85.88	$123.73	$304.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.31 / $71.29 / $128.74	Professional	26	$49.31	$71.29	$128.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $52.43 / $78.67	Professional	TC	$32.47	$52.43	$78.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $188.82 / $238.02	Professional		$131.35	$188.82	$238.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.27 / $123.37 / $142.51	Professional	26	$96.27	$123.37	$142.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.07 / $73.48 / $95.49	Professional	TC	$35.07	$73.48	$95.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $106.60 / $241.05	Professional		$63.22	$106.60	$241.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $80.34 / $173.55	Professional	26	$40.04	$80.34	$173.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.37 / $34.97 / $82.73	Professional	TC	$17.37	$34.97	$82.73
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $169.76 / $223.88	Professional		$84.77	$169.76	$223.88
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $62.20 / $102.66 / $161.88	Professional	26	$62.20	$102.66	$161.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $31.93 / $59.42	Professional	TC	$20.30	$31.93	$59.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $275.70 / $275.70	Professional		$275.70	$275.70	$275.70
United Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $173.06 / $335.06	Professional		$68.95	$173.06	$335.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.46 / $136.43 / $248.75	Professional	26	$56.46	$136.43	$248.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $46.14 / $86.31	Professional	TC	$16.35	$46.14	$86.31