Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $103.81 / $151.33	Facility	26	$36.00	$103.81	$151.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $154.88 / $308.51	Professional		$101.65	$154.88	$308.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $36.00 / $126.81	Professional	26	$24.07	$36.00	$126.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $130.81 / $210.12	Professional	TC	$69.04	$130.81	$210.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $281.14 / $416.32	Professional		$114.69	$281.14	$416.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $42.41 / $59.20	Professional	26	$21.65	$42.41	$59.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.04 / $239.74 / $357.13	Professional	TC	$93.04	$239.74	$357.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.67 / $290.87 / $508.33	Professional		$190.67	$290.87	$508.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $45.37 / $74.84	Professional	26	$30.30	$45.37	$74.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.94 / $234.32 / $446.53	Professional	TC	$137.94	$234.32	$446.53
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $250.56 / $301.50	Professional		$169.97	$250.56	$301.50
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $37.04 / $48.62 / $66.75	Professional	26	$37.04	$48.62	$66.75
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $129.59 / $192.24 / $241.78	Professional	TC	$129.59	$192.24	$241.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $39.22 / $74.72	Professional		$38.25	$39.22	$74.72
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $255.84 / $479.09	Professional		$165.65	$255.84	$479.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $40.00 / $76.37	Professional	26	$27.07	$40.00	$76.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.58 / $227.11 / $407.65	Professional	TC	$138.58	$227.11	$407.65