Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.14 / $206.85 / $272.91	Facility	26	$93.14	$206.85	$272.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $288.02 / $1,223.66	Professional		$150.71	$288.02	$1,223.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $93.14 / $277.00	Professional	26	$54.86	$93.14	$277.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.43 / $219.15 / $437.08	Professional	TC	$133.43	$219.15	$437.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.24 / $547.95 / $664.38	Professional		$188.24	$547.95	$664.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.34 / $140.91 / $173.97	Professional	26	$61.34	$140.91	$173.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.90 / $369.38 / $504.64	Professional	TC	$126.90	$369.38	$504.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.11 / $435.70 / $681.34	Professional		$253.11	$435.70	$681.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.59 / $84.19 / $157.50	Professional	26	$68.59	$84.19	$157.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.12 / $347.39 / $480.35	Professional	TC	$173.12	$347.39	$480.35
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $404.31 / $497.09	Professional		$205.54	$404.31	$497.09
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $68.08 / $124.56	Professional	26	$64.87	$68.08	$124.56
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $132.77 / $165.28 / $283.93	Professional	TC	$132.77	$165.28	$283.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $94.72 / $172.56	Professional		$84.81	$94.72	$172.56
United Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $324.02 / $568.36	Professional		$184.61	$324.02	$568.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $89.59 / $183.23	Professional	26	$55.22	$89.59	$183.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.09 / $219.47 / $390.90	Professional	TC	$125.09	$219.47	$390.90