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 / $288.40	Facility	26	$104.71	$234.42	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $758.58	Professional		$158.49	$275.42	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $223.87	Professional	26	$54.95	$87.10	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $151.36 / $323.59	Professional	TC	$97.72	$151.36	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $630.96	Professional		$173.78	$436.52	$630.96
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 $109.65 / $288.40 / $478.63	Professional	TC	$109.65	$288.40	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $602.56	Professional		$218.78	$354.81	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $158.49	Professional	26	$60.26	$89.13	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $257.04 / $426.58	Professional	TC	$144.54	$257.04	$426.58
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $457.09	Professional		$223.87	$346.74	$457.09
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $81.28 / $95.50	Professional	26	$66.07	$81.28	$95.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $154.88 / $281.84	Professional	TC	$120.23	$154.88	$281.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $354.81	Professional		$85.11	$100.00	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $489.78	Professional		$173.78	$269.15	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $154.88	Professional	26	$53.70	$74.13	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $186.21 / $371.54	Professional	TC	$117.49	$186.21	$371.54