Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $59.78 / $399.15	Professional		$41.17	$59.78	$399.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.52 / $23.90 / $84.51	Professional	26	$12.52	$23.90	$84.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $41.00 / $112.40	Professional	TC	$28.65	$41.00	$112.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $71.95 / $154.38	Professional		$57.91	$71.95	$154.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.91 / $27.71 / $47.53	Professional	26	$18.91	$27.71	$47.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.69 / $52.30 / $109.80	Professional	TC	$39.69	$52.30	$109.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $85.07 / $187.42	Professional		$39.10	$85.07	$187.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $26.23 / $56.94	Professional	26	$12.42	$26.23	$56.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.33 / $58.84 / $130.84	Professional	TC	$28.33	$58.84	$130.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $144.90 / $198.55	Professional		$71.65	$144.90	$198.55
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $36.46 / $50.04	Professional	26	$23.82	$36.46	$50.04
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $51.84 / $105.39 / $135.79	Professional	TC	$51.84	$105.39	$135.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $176.25 / $704.98	Professional		$43.52	$176.25	$704.98
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $141.29 / $260.36	Professional		$72.31	$141.29	$260.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $45.07 / $90.21	Professional	26	$18.45	$45.07	$90.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.54 / $103.75 / $207.68	Professional	TC	$39.54	$103.75	$207.68