Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.78 / $205.75 / $254.32	Facility	26	$61.78	$205.75	$254.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $86.34 / $150.66	Professional		$66.92	$86.34	$150.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.01 / $45.23 / $95.41	Professional	26	$38.01	$45.23	$95.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $41.85 / $72.75	Professional	TC	$22.87	$41.85	$72.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $128.22 / $206.02	Professional		$65.66	$128.22	$206.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $77.86 / $102.88	Professional	26	$37.22	$77.86	$102.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $46.17 / $94.04	Professional	TC	$23.47	$46.17	$94.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $116.36 / $249.85	Professional		$92.72	$116.36	$249.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.33 / $71.70 / $134.09	Professional	26	$50.33	$71.70	$134.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $48.21 / $131.79	Professional	TC	$34.29	$48.21	$131.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $125.83 / $228.98	Professional		$104.32	$125.83	$228.98
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $69.26 / $108.12	Professional	26	$53.62	$69.26	$108.12
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $39.08 / $65.38 / $120.88	Professional	TC	$39.08	$65.38	$120.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $63.40 / $118.30	Professional		$63.12	$63.40	$118.30
United Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $107.81 / $213.52	Professional		$74.01	$107.81	$213.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.48 / $61.24 / $114.96	Professional	26	$43.48	$61.24	$114.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.81 / $45.78 / $108.05	Professional	TC	$31.81	$45.78	$108.05