Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $116.77 / $203.20	Professional		$92.06	$116.77	$203.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $14.45 / $20.30	Professional	26	$12.60	$14.45	$20.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.45 / $102.09 / $132.91	Professional	TC	$79.45	$102.09	$132.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $167.66 / $220.61	Professional		$97.74	$167.66	$220.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $19.98 / $26.37	Professional	26	$12.84	$19.98	$26.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.93 / $149.78 / $197.09	Professional	TC	$86.93	$149.78	$197.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $140.72 / $339.86	Professional		$99.12	$140.72	$339.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $21.89 / $38.99	Professional	26	$15.62	$21.89	$38.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.06 / $125.10 / $303.62	Professional	TC	$80.06	$125.10	$303.62
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $115.83 / $155.40	Professional		$115.83	$115.83	$155.40
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $16.75 / $20.37	Professional	26	$16.75	$16.75	$20.37
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $95.46 / $95.46 / $138.63	Professional	TC	$95.46	$95.46	$138.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $180.02 / $180.02	Professional		$180.02	$180.02	$180.02
United Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $136.41 / $344.32	Professional		$91.76	$136.41	$344.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $18.03 / $36.45	Professional	26	$13.00	$18.03	$36.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.65 / $117.79 / $260.02	Professional	TC	$81.65	$117.79	$260.02