Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $102.31 / $482.30	Professional		$60.96	$102.31	$482.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.35 / $36.83 / $94.10	Professional	26	$22.35	$36.83	$94.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $56.09 / $107.69	Professional	TC	$37.04	$56.09	$107.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $145.41 / $183.08	Professional		$84.14	$145.41	$183.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.04 / $55.57 / $82.40	Professional	26	$38.04	$55.57	$82.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.14 / $100.52 / $124.80	Professional	TC	$85.14	$100.52	$124.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $60.34 / $60.34	Facility		$60.34	$60.34	$60.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $103.29 / $214.94	Professional		$49.94	$103.29	$214.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.54 / $40.54 / $78.67	Professional	26	$19.54	$40.54	$78.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $52.83 / $148.72	Professional	TC	$24.73	$52.83	$148.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $118.12 / $217.38	Professional		$70.20	$118.12	$217.38
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $34.47 / $69.59 / $111.31	Professional	26	$34.47	$69.59	$111.31
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $59.14 / $120.38 / $165.74	Professional	TC	$59.14	$120.38	$165.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $148.85 / $260.01	Professional		$54.27	$148.85	$260.01
United Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $158.55 / $301.87	Professional		$58.58	$158.55	$301.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $56.05 / $126.23	Professional	26	$22.92	$56.05	$126.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $107.28 / $169.17	Professional	TC	$39.15	$107.28	$169.17