Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $107.82 / $211.69	Professional		$73.45	$107.82	$211.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.25 / $46.94 / $239.79	Professional	26	$31.25	$46.94	$239.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.60 / $65.36 / $127.00	Professional	TC	$41.60	$65.36	$127.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $177.94 / $209.07	Professional		$140.04	$177.94	$209.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.15 / $68.34 / $95.56	Professional	26	$45.15	$68.34	$95.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.44 / $105.29 / $138.61	Professional	TC	$89.44	$105.29	$138.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $73.61 / $73.61	Facility		$73.61	$73.61	$73.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $108.45 / $254.72	Professional		$61.35	$108.45	$254.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.79 / $41.05 / $93.00	Professional	26	$26.79	$41.05	$93.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.28 / $58.77 / $169.78	Professional	TC	$28.28	$58.77	$169.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $178.46 / $229.88	Professional		$88.32	$178.46	$229.88
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $34.78 / $72.52 / $97.29	Professional	26	$34.78	$72.52	$97.29
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $71.39 / $138.09 / $198.37	Professional	TC	$71.39	$138.09	$198.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $235.58 / $909.58	Professional		$104.85	$235.58	$909.58
United Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $200.87 / $395.82	Professional		$76.56	$200.87	$395.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.08 / $66.05 / $150.87	Professional	26	$33.08	$66.05	$150.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.02 / $133.88 / $237.38	Professional	TC	$54.02	$133.88	$237.38