Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.43 / $84.92 / $195.54	Facility	26	$57.43	$84.92	$195.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $237.01 / $813.20	Professional		$111.86	$237.01	$813.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.03 / $58.46 / $190.00	Professional	26	$33.03	$58.46	$190.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.45 / $134.91 / $411.20	Professional	TC	$84.45	$134.91	$411.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $243.90 / $375.70	Professional		$159.94	$243.90	$375.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.00 / $63.86 / $102.08	Professional	26	$36.00	$63.86	$102.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.93 / $165.70 / $265.07	Professional	TC	$119.93	$165.70	$265.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $134.25 / $364.75	Professional		$71.68	$134.25	$364.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.67 / $35.68 / $90.83	Professional	26	$29.67	$35.68	$90.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.26 / $92.86 / $279.63	Professional	TC	$36.26	$92.86	$279.63
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $183.35 / $337.43	Professional		$129.63	$183.35	$337.43
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $35.94 / $74.95 / $100.42	Professional	26	$35.94	$74.95	$100.42
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $99.74 / $222.68 / $311.29	Professional	TC	$99.74	$222.68	$311.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $203.29 / $364.96	Professional		$86.32	$203.29	$364.96
United Facility/Professional Professional Modifier Low / Median / High Price $102.04 / $257.68 / $546.95	Professional		$102.04	$257.68	$546.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.99 / $62.33 / $124.59	Professional	26	$27.99	$62.33	$124.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.30 / $221.98 / $444.34	Professional	TC	$92.30	$221.98	$444.34