Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.72 / $174.72 / $185.91	Facility		$174.72	$174.72	$185.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.67 / $46.25 / $104.37	Facility	26	$25.67	$46.25	$104.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $115.71 / $194.59	Professional		$58.44	$115.71	$194.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.90 / $18.50 / $35.21	Professional	26	$15.90	$18.50	$35.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.86 / $99.80 / $185.91	Professional	TC	$43.86	$99.80	$185.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $99.39 / $280.55	Professional		$60.73	$99.39	$280.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $23.15 / $33.82	Professional	26	$15.76	$23.15	$33.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.97 / $77.73 / $247.69	Professional	TC	$44.97	$77.73	$247.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.26 / $200.52 / $485.01	Facility		$146.26	$200.52	$485.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $126.01 / $229.06	Professional		$83.75	$126.01	$229.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $28.42 / $54.05	Professional	26	$22.60	$28.42	$54.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.16 / $102.80 / $185.52	Professional	TC	$61.16	$102.80	$185.52
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $132.85 / $206.09	Professional		$77.29	$132.85	$206.09
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $20.56 / $23.99 / $37.06	Professional	26	$20.56	$23.99	$37.06
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $56.73 / $81.09 / $149.51	Professional	TC	$56.73	$81.09	$149.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $28.30 / $29.01	Professional		$26.32	$28.30	$29.01
United Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $112.50 / $210.10	Professional		$67.00	$112.50	$210.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.18 / $54.03	Professional	26	$19.05	$28.18	$54.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.80 / $93.78 / $156.05	Professional	TC	$48.80	$93.78	$156.05