Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $281.84 / $331.13	Facility	26	$186.21	$281.84	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,862.09	Professional		$275.42	$478.63	$1,862.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $229.09	Professional	26	$70.79	$125.89	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $338.84 / $645.65	Professional	TC	$199.53	$338.84	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $724.44 / $1,023.29	Professional		$281.84	$724.44	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $144.54 / $186.21	Professional	26	$69.18	$144.54	$186.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $537.03 / $851.14	Professional	TC	$204.17	$537.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $645.65 / $954.99	Professional		$323.59	$645.65	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $204.17	Professional	26	$69.18	$102.33	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $537.03 / $776.25	Professional	TC	$245.47	$537.03	$776.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $741.31	Professional		$371.54	$602.56	$741.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $109.65	Professional	26	$74.13	$91.20	$109.65
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $302.00 / $512.86	Professional	TC	$234.42	$302.00	$512.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $141.25	Professional		$58.88	$125.89	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $912.01	Professional		$269.15	$446.68	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $204.17	Professional	26	$61.66	$85.11	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $346.74 / $741.31	Professional	TC	$204.17	$346.74	$741.31