Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.93 / $247.50 / $349.39	Facility	26	$83.93	$247.50	$349.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $227.71 / $758.21	Professional		$93.05	$227.71	$758.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.35 / $66.15 / $226.65	Professional	26	$45.35	$66.15	$226.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.14 / $75.70 / $255.00	Professional	52	$46.14	$75.70	$255.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.69 / $112.85 / $268.48	Professional	TC	$48.69	$112.85	$268.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $149.27 / $409.07	Professional		$93.16	$149.27	$409.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.73 / $67.09 / $137.87	Professional	26	$41.73	$67.09	$137.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.30 / $80.94 / $271.19	Professional	TC	$51.30	$80.94	$271.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $249.37 / $427.56	Professional		$135.94	$249.37	$427.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.97 / $101.17 / $144.19	Professional	26	$55.97	$101.17	$144.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.53 / $148.19 / $247.99	Professional	TC	$74.53	$148.19	$247.99
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $265.67 / $571.82	Professional		$132.83	$265.67	$571.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $48.95 / $69.98 / $88.80	Professional	26	$48.95	$69.98	$88.80
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $62.69 / $89.62 / $154.72	Professional	TC	$62.69	$89.62	$154.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $107.25 / $417.17	Professional		$36.96	$107.25	$417.17
United Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $220.48 / $346.58	Professional		$119.10	$220.48	$346.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.17 / $85.00 / $136.72	Professional	26	$46.17	$85.00	$136.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.66 / $119.49 / $231.34	Professional	TC	$67.66	$119.49	$231.34