Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $234.42 / $281.84	Facility	26	$104.71	$234.42	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $1,071.52	Professional		$169.82	$295.12	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $208.93	Professional	26	$54.95	$83.18	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $194.98 / $398.11	Professional	TC	$112.20	$194.98	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $457.09 / $645.65	Professional		$190.55	$457.09	$645.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $123.03 / $162.18	Professional	26	$61.66	$123.03	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $309.03 / $489.78	Professional	TC	$125.89	$309.03	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $616.60	Professional		$199.53	$436.52	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $177.83	Professional	26	$60.26	$89.13	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $338.84 / $478.63	Professional	TC	$128.82	$338.84	$478.63
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $501.19	Professional		$245.47	$416.87	$501.19
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $95.50	Professional	26	$64.57	$79.43	$95.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $177.83 / $331.13	Professional	TC	$138.04	$177.83	$331.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $114.82	Professional		$85.11	$104.71	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $524.81	Professional		$165.96	$275.42	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $72.44 / $151.36	Professional	26	$52.48	$72.44	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $181.97 / $346.74	Professional	TC	$109.65	$181.97	$346.74