Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $89.40 / $214.17	Professional		$58.39	$89.40	$214.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.94 / $35.13 / $82.62	Professional	26	$22.94	$35.13	$82.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.44 / $54.30 / $87.58	Professional	TC	$35.44	$54.30	$87.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $166.10 / $256.19	Professional		$125.68	$166.10	$256.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.13 / $56.76 / $76.31	Professional	26	$39.13	$56.76	$76.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.17 / $99.99 / $191.86	Professional	TC	$76.17	$99.99	$191.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $93.12 / $259.79	Professional		$52.57	$93.12	$259.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $35.56 / $72.86	Professional	26	$19.88	$35.56	$72.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.17 / $63.59 / $198.41	Professional	TC	$27.17	$63.59	$198.41
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $133.13 / $279.75	Professional		$85.84	$133.13	$279.75
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $30.14 / $62.85 / $83.00	Professional	26	$30.14	$62.85	$83.00
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $82.47 / $167.94 / $214.65	Professional	TC	$82.47	$167.94	$214.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $172.65 / $178.86	Professional		$78.00	$172.65	$178.86
United Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $192.72 / $406.53	Professional		$82.26	$192.72	$406.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $56.30 / $101.89	Professional	26	$23.33	$56.30	$101.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.61 / $136.41 / $328.97	Professional	TC	$50.61	$136.41	$328.97