Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.09 / $99.34 / $144.15	Facility	26	$35.09	$99.34	$144.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $190.40 / $502.90	Professional		$132.82	$190.40	$502.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.83 / $27.08 / $77.12	Professional	26	$20.83	$27.08	$77.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.29 / $169.58 / $344.11	Professional	TC	$109.29	$169.58	$344.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $230.94 / $329.16	Professional		$112.86	$230.94	$329.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $32.35 / $42.03	Professional	26	$20.49	$32.35	$42.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.38 / $191.31 / $290.77	Professional	TC	$92.38	$191.31	$290.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $225.30 / $405.07	Professional		$151.43	$225.30	$405.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $31.90 / $71.93	Professional	26	$25.22	$31.90	$71.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.85 / $196.16 / $333.50	Professional	TC	$115.85	$196.16	$333.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $188.31 / $246.13	Professional		$127.50	$188.31	$246.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $24.13 / $31.66 / $43.50	Professional	26	$24.13	$31.66	$43.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $117.78 / $174.78 / $224.25	Professional	TC	$117.78	$174.78	$224.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $37.36 / $212.54	Professional		$36.44	$37.36	$212.54
United Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $202.41 / $383.15	Professional		$124.16	$202.41	$383.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $35.99 / $68.33	Professional	26	$23.25	$35.99	$68.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.39 / $170.05 / $313.37	Professional	TC	$105.39	$170.05	$313.37