Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.46 / $96.51 / $142.31	Facility	26	$34.46	$96.51	$142.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $279.60 / $712.56	Professional		$168.00	$279.60	$712.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $34.46 / $89.52	Professional	26	$23.15	$34.46	$89.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.77 / $226.53 / $407.79	Professional	TC	$134.77	$226.53	$407.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $281.07 / $388.36	Professional		$145.09	$281.07	$388.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $37.00 / $48.80	Professional	26	$20.49	$37.00	$48.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.59 / $242.16 / $340.87	Professional	TC	$124.59	$242.16	$340.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.95 / $303.42 / $511.72	Professional		$174.95	$303.42	$511.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.88 / $38.64 / $71.06	Professional	26	$27.88	$38.64	$71.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.30 / $264.63 / $444.25	Professional	TC	$148.30	$264.63	$444.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $187.11 / $274.01 / $332.25	Professional		$187.11	$274.01	$332.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.77 / $33.65 / $45.22	Professional	26	$26.77	$33.65	$45.22
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $160.34 / $238.01 / $278.25	Professional	TC	$160.34	$238.01	$278.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $47.31 / $308.43	Professional		$37.36	$47.31	$308.43
United Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $257.52 / $491.67	Professional		$165.61	$257.52	$491.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $38.53 / $74.73	Professional	26	$24.51	$38.53	$74.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.47 / $235.45 / $420.68	Professional	TC	$141.47	$235.45	$420.68