Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.51 / $86.21 / $194.96	Facility	26	$47.51	$86.21	$194.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $101.80 / $352.00	Professional		$66.51	$101.80	$352.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.58 / $35.54 / $224.94	Professional	26	$29.58	$35.54	$224.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $65.25 / $100.24	Professional	TC	$34.52	$65.25	$100.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $113.73 / $170.41	Professional		$70.56	$113.73	$170.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $43.36 / $63.34	Professional	26	$29.52	$43.36	$63.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.14 / $67.45 / $112.08	Professional	TC	$39.14	$67.45	$112.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $127.99 / $313.94	Professional		$61.63	$127.99	$313.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.62 / $53.48 / $101.05	Professional	26	$41.62	$53.48	$101.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $75.97 / $212.03	Professional	TC	$17.32	$75.97	$212.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $141.62 / $204.22	Professional		$79.84	$141.62	$204.22
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $45.21 / $69.16	Professional	26	$38.53	$45.21	$69.16
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $40.32 / $96.42 / $135.06	Professional	TC	$40.32	$96.42	$135.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $52.92 / $54.27	Professional		$51.83	$52.92	$54.27
United Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $147.88 / $301.76	Professional		$72.34	$147.88	$301.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $52.64 / $100.92	Professional	26	$34.00	$52.64	$100.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $83.94 / $195.41	Professional	TC	$28.46	$83.94	$195.41