Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $79.50 / $144.30	Professional		$53.68	$79.50	$144.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $54.28 / $158.94	Professional	26	$34.76	$54.28	$158.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.93 / $31.59 / $49.53	Professional	TC	$18.93	$31.59	$49.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $140.31 / $170.04	Professional		$116.41	$140.31	$170.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.56 / $89.29 / $111.99	Professional	26	$67.56	$89.29	$111.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.26 / $51.10 / $71.34	Professional	TC	$43.26	$51.10	$71.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $57.33 / $57.33	Facility		$57.33	$57.33	$57.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $92.49 / $202.62	Professional		$49.16	$92.49	$202.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.88 / $67.55 / $119.33	Professional	26	$31.88	$67.55	$119.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.76 / $27.68 / $75.12	Professional	TC	$13.76	$27.68	$75.12
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $149.16 / $208.00	Professional		$74.12	$149.16	$208.00
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $52.33 / $103.82 / $165.06	Professional	26	$52.33	$103.82	$165.06
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $33.64 / $62.33 / $80.43	Professional	TC	$33.64	$62.33	$80.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $250.13 / $518.27	Professional		$117.35	$250.13	$518.27
United Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $160.53 / $351.13	Professional		$69.68	$160.53	$351.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.77 / $104.51 / $178.26	Professional	26	$40.77	$104.51	$178.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $56.02 / $126.41	Professional	TC	$19.48	$56.02	$126.41