Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $436.52	Professional		$75.86	$151.36	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $138.04 / $575.44	Professional	26	$41.69	$138.04	$575.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $83.18 / $204.17	Professional	TC	$40.74	$83.18	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $346.74	Professional		$147.91	$199.53	$346.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $151.36	Professional	26	$54.95	$77.62	$151.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $109.65 / $199.53	Professional	TC	$95.50	$109.65	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $245.47	Professional		$61.66	$97.72	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.90 / $89.13	Professional	26	$26.92	$38.90	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $58.88 / $165.96	Professional	TC	$28.18	$58.88	$165.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $269.15	Professional		$95.50	$186.21	$269.15
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $72.44 / $112.20	Professional	26	$40.74	$72.44	$112.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $141.25 / $229.09	Professional	TC	$74.13	$141.25	$229.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $1,047.13	Professional		$102.33	$251.19	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $177.83 / $389.05	Professional		$69.18	$177.83	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $66.07 / $154.88	Professional	26	$27.54	$66.07	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $125.89 / $239.88	Professional	TC	$47.86	$125.89	$239.88