Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.72 / $180.40 / $221.18	Facility	26	$62.72	$180.40	$221.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $74.00 / $129.71	Professional		$59.70	$74.00	$129.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $43.43 / $66.14	Professional	26	$33.97	$43.43	$66.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $35.14 / $61.17	Professional	TC	$19.23	$35.14	$61.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $102.78 / $174.73	Professional		$56.45	$102.78	$174.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.13 / $65.48 / $90.13	Professional	26	$33.13	$65.48	$90.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $36.79 / $77.97	Professional	TC	$20.05	$36.79	$77.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $109.32 / $214.28	Professional		$80.37	$109.32	$214.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $65.26 / $117.69	Professional	26	$48.02	$65.26	$117.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $40.60 / $110.66	Professional	TC	$29.14	$40.60	$110.66
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $108.23 / $196.63	Professional		$97.51	$108.23	$196.63
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $47.04 / $65.54 / $94.86	Professional	26	$47.04	$65.54	$94.86
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $33.72 / $54.99 / $101.77	Professional	TC	$33.72	$54.99	$101.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $55.54 / $56.95	Professional		$52.64	$55.54	$56.95
United Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $97.31 / $194.54	Professional		$63.62	$97.31	$194.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.22 / $53.55 / $98.94	Professional	26	$38.22	$53.55	$98.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.13 / $40.53 / $92.44	Professional	TC	$27.13	$40.53	$92.44