Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $199.53 / $794.33	Professional		$56.23	$199.53	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $177.83 / $794.33	Professional	26	$30.90	$177.83	$794.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $60.26 / $131.83	Professional	TC	$34.67	$60.26	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $213.80	Professional		$61.66	$109.65	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $33.11 / $63.10	Professional	26	$19.95	$33.11	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $52.48 / $144.54	Professional	TC	$41.69	$52.48	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $181.97	Professional		$38.90	$72.44	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $21.88 / $53.70	Professional	26	$12.30	$21.88	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $50.12 / $131.83	Professional	TC	$28.18	$50.12	$131.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $204.17	Professional		$102.33	$144.54	$204.17
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $51.29	Professional	26	$28.18	$36.31	$51.29
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $104.71 / $134.90	Professional	TC	$72.44	$104.71	$134.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $134.90 / $954.99	Professional		$42.66	$134.90	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $134.90 / $281.84	Professional		$56.23	$134.90	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $44.67 / $91.20	Professional	26	$17.38	$44.67	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $97.72 / $199.53	Professional	TC	$36.31	$97.72	$199.53