Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.13 / $316.97 / $818.75	Facility		$127.13	$316.97	$818.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.52 / $96.47 / $140.13	Facility	26	$34.52	$96.47	$140.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $170.15 / $390.87	Professional		$115.92	$170.15	$390.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $34.52 / $89.66	Professional	26	$20.53	$34.52	$89.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.53 / $128.66 / $220.87	Professional	TC	$95.53	$128.66	$220.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $179.82 / $237.07	Professional		$106.79	$179.82	$237.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $35.08 / $45.58	Professional	26	$20.49	$35.08	$45.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.30 / $144.26 / $189.20	Professional	TC	$86.30	$144.26	$189.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $381.23 / $709.10	Facility		$128.54	$381.23	$709.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $219.32 / $377.18	Professional		$141.84	$219.32	$377.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.02 / $32.68 / $71.06	Professional	26	$26.02	$32.68	$71.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.78 / $180.39 / $313.55	Professional	TC	$106.78	$180.39	$313.55
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $202.34 / $248.25	Professional		$136.68	$202.34	$248.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.14 / $33.13 / $44.55	Professional	26	$26.14	$33.13	$44.55
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $110.31 / $163.71 / $200.25	Professional	TC	$110.31	$163.71	$200.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $180.13 / $229.17	Professional		$34.90	$180.13	$229.17
United Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $196.91 / $351.62	Professional		$122.22	$196.91	$351.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $34.26 / $70.97	Professional	26	$23.90	$34.26	$70.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $160.86 / $314.82	Professional	TC	$98.17	$160.86	$314.82