Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.35 / $183.88 / $243.68	Facility	26	$82.35	$183.88	$243.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $243.15 / $722.66	Professional		$166.50	$243.15	$722.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $81.50 / $171.10	Professional	26	$48.57	$81.50	$171.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.60 / $183.84 / $354.57	Professional	TC	$109.60	$183.84	$354.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.61 / $467.54 / $621.37	Professional		$160.61	$467.54	$621.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.48 / $124.66 / $153.88	Professional	26	$54.48	$124.66	$153.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.14 / $326.26 / $480.07	Professional	TC	$106.14	$326.26	$480.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $357.11 / $574.05	Professional		$204.10	$357.11	$574.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.92 / $74.76 / $135.93	Professional	26	$60.92	$74.76	$135.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.27 / $283.37 / $398.98	Professional	TC	$138.27	$283.37	$398.98
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $333.73 / $409.14	Professional		$175.87	$333.73	$409.14
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $57.22 / $60.45 / $110.70	Professional	26	$57.22	$60.45	$110.70
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $111.49 / $138.74 / $237.52	Professional	TC	$111.49	$138.74	$237.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $102.83 / $152.99	Professional		$77.43	$102.83	$152.99
United Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $275.22 / $484.53	Professional		$157.38	$275.22	$484.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.79 / $84.02 / $154.57	Professional	26	$50.79	$84.02	$154.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.48 / $182.27 / $326.47	Professional	TC	$104.48	$182.27	$326.47