Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $112.31 / $314.55	Professional		$88.61	$112.31	$314.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $76.08 / $109.45	Professional	26	$67.59	$76.08	$109.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $28.95 / $32.81	Professional	TC	$19.69	$28.95	$32.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $147.00 / $182.53	Professional		$87.22	$147.00	$182.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.11 / $103.67 / $140.49	Professional	26	$66.11	$103.67	$140.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $39.36 / $51.81	Professional	TC	$22.20	$39.36	$51.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $141.31 / $271.99	Professional		$112.83	$141.31	$271.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.41 / $111.93 / $203.03	Professional	26	$81.41	$111.93	$203.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $31.98 / $79.81	Professional	TC	$21.75	$31.98	$79.81
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $99.41 / $120.54	Professional		$99.41	$99.41	$120.54
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $82.03 / $82.03 / $86.24	Professional	26	$82.03	$82.03	$86.24
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $17.39 / $34.29	Professional	TC	$17.39	$17.39	$34.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $186.75 / $186.75 / $400.50	Professional		$186.75	$186.75	$400.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $129.27 / $261.37	Professional		$93.25	$129.27	$261.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $94.82 / $191.72	Professional	26	$69.33	$94.82	$191.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $31.32 / $73.73	Professional	TC	$20.56	$31.32	$73.73