Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.82 / $206.67 / $243.68	Facility	26	$100.82	$206.67	$243.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.06 / $415.31 / $1,147.22	Professional		$227.06	$415.31	$1,147.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.50 / $100.82 / $218.00	Professional	26	$59.50	$100.82	$218.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $167.52 / $314.49 / $525.34	Professional	TC	$167.52	$314.49	$525.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $648.90 / $905.73	Professional		$196.38	$648.90	$905.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.48 / $146.47 / $173.78	Professional	26	$54.48	$146.47	$173.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.90 / $524.41 / $731.96	Professional	TC	$141.90	$524.41	$731.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.57 / $402.44 / $739.83	Professional		$264.57	$402.44	$739.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $87.92 / $157.36	Professional	26	$67.98	$87.92	$157.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.49 / $309.26 / $536.79	Professional	TC	$193.49	$309.26	$536.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $412.87 / $531.82	Professional		$214.04	$412.87	$531.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $58.39 / $70.13 / $110.70	Professional	26	$58.39	$70.13	$110.70
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $148.36 / $184.70 / $332.44	Professional	TC	$148.36	$184.70	$332.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $109.48 / $165.45	Professional		$77.43	$109.48	$165.45
United Facility/Professional Professional Modifier Low / Median / High Price $219.45 / $362.30 / $661.31	Professional		$219.45	$362.30	$661.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.14 / $80.84 / $165.32	Professional	26	$54.14	$80.84	$165.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.89 / $246.54 / $479.46	Professional	TC	$163.89	$246.54	$479.46