Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $223.87 / $257.04	Facility	26	$64.57	$223.87	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $616.60	Professional		$85.11	$169.82	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $85.11 / $263.03	Professional	26	$41.69	$85.11	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $186.21 / $389.05	Professional	50	$169.82	$186.21	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $53.70 / $107.15	Professional	TC	$39.81	$53.70	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $177.83	Professional		$85.11	$120.23	$177.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $60.26 / $93.33	Professional	26	$39.81	$60.26	$93.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $63.10 / $93.33	Professional	TC	$41.69	$63.10	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $302.00	Professional		$102.33	$151.36	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $144.54	Professional	26	$50.12	$72.44	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $79.43 / $165.96	Professional	TC	$53.70	$79.43	$165.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $208.93	Professional		$102.33	$141.25	$208.93
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $69.18 / $95.50	Professional	26	$45.71	$69.18	$95.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $79.43 / $112.20	Professional	TC	$51.29	$79.43	$112.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $489.78	Professional		$77.62	$173.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $263.03	Professional		$91.20	$134.90	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $117.49	Professional	26	$43.65	$64.57	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $70.79 / $144.54	Professional	TC	$48.98	$70.79	$144.54