Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $204.17 / $691.83	Professional		$70.79	$204.17	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $74.13 / $363.08	Professional	26	$26.92	$74.13	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $79.43 / $223.87	Professional	TC	$42.66	$79.43	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $275.42	Professional		$125.89	$165.96	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $104.71	Professional	26	$45.71	$61.66	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $100.00 / $165.96	Professional	TC	$85.11	$100.00	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $102.33 / $213.80	Professional		$50.12	$102.33	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $38.90 / $77.62	Professional	26	$20.89	$38.90	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $48.98 / $144.54	Professional	TC	$24.55	$48.98	$144.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $223.87	Professional		$70.79	$134.90	$223.87
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $72.44 / $114.82	Professional	26	$34.67	$72.44	$114.82
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $123.03 / $190.55	Professional	TC	$19.05	$123.03	$190.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $128.82 / $269.15	Professional		$56.23	$128.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $158.49 / $302.00	Professional		$58.88	$158.49	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $54.95 / $128.82	Professional	26	$22.91	$54.95	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $104.71 / $204.17	Professional	TC	$42.66	$104.71	$204.17