Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $63.95 / $660.34	Professional		$43.78	$63.95	$660.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $24.69 / $308.33	Professional	26	$16.42	$24.69	$308.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.36 / $35.56 / $66.86	Professional	TC	$27.36	$35.56	$66.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $105.99 / $182.34	Professional		$88.35	$105.99	$182.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $37.79 / $52.44	Professional	26	$20.97	$37.79	$52.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.67 / $67.37 / $128.86	Professional	TC	$54.67	$67.37	$128.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $90.54 / $195.01	Professional		$40.52	$90.54	$195.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.59 / $28.83 / $57.48	Professional	26	$14.59	$28.83	$57.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $57.05 / $146.62	Professional	TC	$24.65	$57.05	$146.62
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $116.21 / $213.55	Professional		$82.17	$116.21	$213.55
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $20.27 / $38.40 / $52.77	Professional	26	$20.27	$38.40	$52.77
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $58.56 / $87.54 / $162.43	Professional	TC	$58.56	$87.54	$162.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $889.36 / $921.36	Professional		$62.00	$889.36	$921.36
United Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $131.87 / $299.72	Professional		$56.67	$131.87	$299.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.87 / $45.48 / $82.35	Professional	26	$18.87	$45.48	$82.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $95.81 / $231.04	Professional	TC	$35.54	$95.81	$231.04