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 $144.54 / $263.03 / $891.25	Professional		$144.54	$263.03	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $194.98	Professional	26	$54.95	$83.18	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $169.82 / $371.54	Professional	TC	$91.20	$169.82	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $407.38 / $616.60	Professional		$165.96	$407.38	$616.60
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 $100.00 / $257.04 / $457.09	Professional	TC	$100.00	$257.04	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $489.78	Professional		$181.97	$331.13	$489.78
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 $112.20 / $234.42 / $338.84	Professional	TC	$112.20	$234.42	$338.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $389.05	Professional		$213.80	$309.03	$389.05
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 $109.65 / $141.25 / $263.03	Professional	TC	$109.65	$141.25	$263.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $123.03	Professional		$93.33	$104.71	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $426.58	Professional		$141.25	$234.42	$426.58
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 $87.10 / $147.91 / $281.84	Professional	TC	$87.10	$147.91	$281.84