Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.38 / $155.04 / $188.76	Facility	26	$44.38	$155.04	$188.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $67.34 / $119.96	Professional		$45.50	$67.34	$119.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.00 / $33.97 / $56.39	Professional	26	$28.00	$33.97	$56.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $34.50 / $60.48	Professional	TC	$18.03	$34.50	$60.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $95.06 / $162.07	Professional		$52.59	$95.06	$162.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.07 / $56.62 / $77.28	Professional	26	$28.07	$56.62	$77.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.76 / $38.95 / $78.68	Professional	TC	$17.76	$38.95	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $86.57 / $199.90	Professional		$69.14	$86.57	$199.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.50 / $51.10 / $100.88	Professional	26	$36.50	$51.10	$100.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.75 / $39.29 / $111.66	Professional	TC	$25.75	$39.29	$111.66
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $100.05 / $184.72	Professional		$78.84	$100.05	$184.72
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $49.95 / $81.99	Professional	26	$40.65	$49.95	$81.99
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $29.44 / $55.51 / $102.73	Professional	TC	$29.44	$55.51	$102.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $89.53 / $247.35	Professional		$40.53	$89.53	$247.35
United Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $84.92 / $175.16	Professional		$57.25	$84.92	$175.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.47 / $44.78 / $86.42	Professional	26	$31.47	$44.78	$86.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.58 / $36.95 / $92.17	Professional	TC	$24.58	$36.95	$92.17