Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $213.80 / $251.19	Facility	26	$91.20	$213.80	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $691.83	Professional		$147.91	$275.42	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $234.42	Professional	26	$51.29	$83.18	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $190.55 / $416.87	Professional	TC	$95.50	$190.55	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $426.58 / $758.58	Professional		$165.96	$426.58	$758.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $114.82 / $162.18	Professional	26	$53.70	$114.82	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $288.40 / $602.56	Professional	TC	$109.65	$288.40	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $562.34	Professional		$186.21	$371.54	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $158.49	Professional	26	$57.54	$85.11	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $281.84 / $407.38	Professional	TC	$123.03	$281.84	$407.38
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $467.74	Professional		$213.80	$354.81	$467.74
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $72.44 / $95.50	Professional	26	$61.66	$72.44	$95.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $154.88 / $309.03	Professional	TC	$120.23	$154.88	$309.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $109.65	Professional		$74.13	$87.10	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $436.52	Professional		$144.54	$251.19	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $134.90	Professional	26	$48.98	$66.07	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $162.18 / $302.00	Professional	TC	$95.50	$162.18	$302.00