Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.35 / $206.67 / $242.10	Facility	26	$82.35	$206.67	$242.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $272.27 / $1,060.70	Professional		$132.30	$272.27	$1,060.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $82.35 / $205.12	Professional	26	$55.00	$82.35	$205.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.69 / $190.77 / $432.95	Professional	TC	$116.69	$190.77	$432.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $528.79 / $778.47	Professional		$164.94	$528.79	$778.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.12 / $137.59 / $163.24	Professional	26	$54.12	$137.59	$163.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $110.82 / $360.07 / $615.24	Professional	TC	$110.82	$360.07	$615.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $380.50 / $619.77	Professional		$209.59	$380.50	$619.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.50 / $80.42 / $140.44	Professional	26	$65.50	$80.42	$140.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.46 / $283.37 / $416.33	Professional	TC	$143.46	$283.37	$416.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $357.38 / $468.61	Professional		$180.20	$357.38	$468.61
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $58.39 / $66.25 / $110.70	Professional	26	$58.39	$66.25	$110.70
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $115.67 / $143.94 / $289.37	Professional	TC	$115.67	$143.94	$289.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $118.58 / $236.00	Professional		$76.95	$118.58	$236.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $283.16 / $496.36	Professional		$161.22	$283.16	$496.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.81 / $92.38 / $165.32	Professional	26	$53.81	$92.38	$165.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.88 / $196.56 / $338.49	Professional	TC	$111.88	$196.56	$338.49