Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.37 / $231.14 / $271.33	Facility	26	$105.37	$231.14	$271.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.22 / $444.84 / $1,563.20	Professional		$254.22	$444.84	$1,563.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $90.99 / $189.66	Professional	26	$55.00	$90.99	$189.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $188.15 / $348.10 / $580.95	Professional	TC	$188.15	$348.10	$580.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.32 / $726.25 / $1,013.69	Professional		$229.32	$726.25	$1,013.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $153.12 / $181.67	Professional	26	$60.99	$153.12	$181.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $168.34 / $596.08 / $832.01	Professional	TC	$168.34	$596.08	$832.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.63 / $480.69 / $864.02	Professional		$307.63	$480.69	$864.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.30 / $91.98 / $175.21	Professional	26	$74.30	$91.98	$175.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.76 / $385.85 / $636.49	Professional	TC	$228.76	$385.85	$636.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $249.22 / $468.01 / $610.10	Professional		$249.22	$468.01	$610.10
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $73.87 / $123.88	Professional	26	$65.37	$73.87	$123.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $175.35 / $218.34 / $389.55	Professional	TC	$175.35	$218.34	$389.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $94.19 / $348.71	Professional		$84.34	$94.19	$348.71
United Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $394.75 / $739.40	Professional		$240.17	$394.75	$739.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.17 / $90.44 / $182.16	Professional	26	$59.17	$90.44	$182.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.57 / $298.58 / $557.24	Professional	TC	$186.57	$298.58	$557.24