Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.03 / $83.42 / $106.55	Facility	26	$25.03	$83.42	$106.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $88.12 / $289.88	Professional		$58.31	$88.12	$289.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.13 / $27.07 / $79.41	Professional	26	$18.13	$27.07	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $51.67 / $136.00	Professional	TC	$38.00	$51.67	$136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $125.95 / $173.38	Professional		$51.61	$125.95	$173.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.70 / $42.96 / $59.97	Professional	26	$17.70	$42.96	$59.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.18 / $84.16 / $113.39	Professional	TC	$35.18	$84.16	$113.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $117.13 / $172.04	Professional		$62.57	$117.13	$172.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $28.28 / $56.88	Professional	26	$20.76	$28.28	$56.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.81 / $91.90 / $122.71	Professional	TC	$41.81	$91.90	$122.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $84.71 / $218.05	Professional		$72.00	$84.71	$218.05
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $28.12 / $40.50	Professional	26	$19.71	$28.12	$40.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.61 / $57.41 / $104.86	Professional	TC	$38.61	$57.41	$104.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $35.63 / $54.18	Professional		$27.94	$35.63	$54.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $89.79 / $191.64	Professional		$54.50	$89.79	$191.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $28.61 / $63.26	Professional	26	$18.30	$28.61	$63.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $58.55 / $127.71	Professional	TC	$35.72	$58.55	$127.71