Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $109.37 / $329.78	Professional		$71.14	$109.37	$329.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $34.59 / $89.11	Professional	26	$23.00	$34.59	$89.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.14 / $84.90 / $192.83	Professional	TC	$48.14	$84.90	$192.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $202.42 / $295.68	Professional		$101.39	$202.42	$295.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.72 / $45.76 / $73.33	Professional	26	$34.72	$45.76	$73.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.66 / $160.61 / $234.61	Professional	TC	$66.66	$160.61	$234.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $147.12 / $352.93	Professional		$70.47	$147.12	$352.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $40.47 / $77.30	Professional	26	$20.05	$40.47	$77.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.61 / $98.89 / $277.00	Professional	TC	$47.61	$98.89	$277.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $260.27 / $371.31	Professional		$128.50	$260.27	$371.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.04 / $49.06 / $70.38	Professional	26	$27.04	$49.06	$70.38
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $101.46 / $206.43 / $266.06	Professional	TC	$101.46	$206.43	$266.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $235.17 / $484.24	Professional		$78.39	$235.17	$484.24
United Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $263.10 / $509.69	Professional		$112.57	$263.10	$509.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.93 / $60.97 / $110.18	Professional	26	$24.93	$60.97	$110.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $203.88 / $400.81	Professional	TC	$75.31	$203.88	$400.81