Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.18 / $280.01 / $338.65	Facility	26	$79.18	$280.01	$338.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $102.78 / $256.87	Professional		$79.79	$102.78	$256.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.17 / $60.97 / $163.10	Professional	26	$51.17	$60.97	$163.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $41.53 / $72.16	Professional	TC	$22.87	$41.53	$72.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $131.96 / $238.98	Professional		$86.32	$131.96	$238.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.95 / $90.64 / $131.28	Professional	26	$51.95	$90.64	$131.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.59 / $44.20 / $95.46	Professional	TC	$27.59	$44.20	$95.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $136.51 / $291.83	Professional		$107.02	$136.51	$291.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.19 / $87.54 / $179.97	Professional	26	$65.19	$87.54	$179.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $47.83 / $130.78	Professional	TC	$35.04	$47.83	$130.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $144.29 / $266.44	Professional		$122.39	$144.29	$266.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $72.66 / $89.08 / $146.52	Professional	26	$72.66	$89.08	$146.52
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $40.15 / $64.86 / $119.93	Professional	TC	$40.15	$64.86	$119.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $129.61 / $178.07	Professional		$85.41	$129.61	$178.07
United Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $134.13 / $267.62	Professional		$88.90	$134.13	$267.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $78.95 / $156.08	Professional	26	$56.84	$78.95	$156.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.78 / $45.93 / $108.64	Professional	TC	$30.78	$45.93	$108.64