Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.42 / $205.75 / $252.21	Facility	26	$58.42	$205.75	$252.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $82.23 / $227.17	Professional		$62.29	$82.23	$227.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.95 / $45.21 / $117.45	Professional	26	$37.95	$45.21	$117.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $38.02 / $65.80	Professional	TC	$20.85	$38.02	$65.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $118.66 / $195.09	Professional		$62.18	$118.66	$195.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.80 / $73.44 / $101.99	Professional	26	$30.80	$73.44	$101.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $41.83 / $83.68	Professional	TC	$25.98	$41.83	$83.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $106.92 / $237.77	Professional		$85.99	$106.92	$237.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.35 / $66.91 / $132.78	Professional	26	$48.35	$66.91	$132.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.71 / $43.80 / $119.71	Professional	TC	$30.71	$43.80	$119.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $117.74 / $217.54	Professional		$95.86	$117.74	$217.54
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $65.73 / $108.12	Professional	26	$53.62	$65.73	$108.12
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $59.14 / $109.42	Professional	TC	$34.79	$59.14	$109.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $62.88 / $118.30	Professional		$53.45	$62.88	$118.30
United Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $104.51 / $215.81	Professional		$68.33	$104.51	$215.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.77 / $58.95 / $109.54	Professional	26	$41.77	$58.95	$109.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.76 / $42.51 / $98.02	Professional	TC	$28.76	$42.51	$98.02