Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $398.11 / $812.83	Facility		$169.82	$398.11	$812.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $117.49 / $138.04	Facility	26	$58.88	$117.49	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $331.13	Professional		$107.15	$141.25	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.84 / $87.10	Professional	26	$20.89	$28.84	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $239.88	Professional	TC	$85.11	$107.15	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $251.19	Professional		$104.71	$165.96	$251.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $46.77	Professional	26	$19.50	$30.90	$46.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $131.83 / $199.53	Professional	TC	$85.11	$131.83	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $371.54 / $602.56	Facility		$91.20	$371.54	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $380.19	Professional		$131.83	$218.78	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $70.79	Professional	26	$23.99	$33.11	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $169.82 / $331.13	Professional	TC	$104.71	$169.82	$331.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $263.03	Professional		$141.25	$213.80	$263.03
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $34.67 / $45.71	Professional	26	$26.30	$34.67	$45.71
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $190.55 / $229.09	Professional	TC	$112.20	$190.55	$229.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $229.09	Professional		$37.15	$37.15	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $316.23	Professional		$114.82	$181.97	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.90 / $58.88	Professional	26	$21.38	$30.90	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $151.36 / $269.15	Professional	TC	$91.20	$151.36	$269.15