Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.49 / $303.60 / $369.62	Facility	26	$86.49	$303.60	$369.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $110.76 / $279.22	Professional		$86.80	$110.76	$279.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.60 / $66.70 / $173.57	Professional	26	$54.60	$66.70	$173.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.89 / $45.56 / $77.38	Professional	TC	$24.89	$45.56	$77.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $146.04 / $257.79	Professional		$82.16	$146.04	$257.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.94 / $98.36 / $142.52	Professional	26	$55.94	$98.36	$142.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $48.98 / $103.74	Professional	TC	$27.55	$48.98	$103.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $151.94 / $315.36	Professional		$119.76	$151.94	$315.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.26 / $100.31 / $196.58	Professional	26	$71.26	$100.31	$196.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.50 / $52.42 / $139.84	Professional	TC	$39.50	$52.42	$139.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $136.74 / $158.15 / $287.33	Professional		$136.74	$158.15	$287.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $78.75 / $96.65 / $158.79	Professional	26	$78.75	$96.65	$158.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $46.04 / $69.53 / $128.51	Professional	TC	$46.04	$69.53	$128.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $80.83 / $87.24	Professional		$78.84	$80.83	$87.24
United Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $147.44 / $291.36	Professional		$98.14	$147.44	$291.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.64 / $85.67 / $159.59	Professional	26	$61.64	$85.67	$159.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.33 / $52.00 / $116.73	Professional	TC	$36.33	$52.00	$116.73