Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.36 / $225.29 / $296.01	Facility	26	$101.36	$225.29	$296.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $354.16 / $1,286.36	Professional		$185.98	$354.16	$1,286.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $101.36 / $344.28	Professional	26	$59.34	$101.36	$344.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.19 / $252.79 / $812.30	Professional	TC	$151.19	$252.79	$812.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.78 / $581.54 / $760.93	Professional		$199.78	$581.54	$760.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.45 / $153.32 / $189.27	Professional	26	$66.45	$153.32	$189.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.33 / $420.65 / $587.14	Professional	TC	$133.33	$420.65	$587.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $399.92 / $711.32	Professional		$268.30	$399.92	$711.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $91.30 / $167.73	Professional	26	$74.31	$91.30	$167.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.56 / $291.08 / $487.83	Professional	TC	$181.56	$291.08	$487.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $217.89 / $365.44 / $464.23	Professional		$217.89	$365.44	$464.23
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $70.43 / $73.73 / $135.10	Professional	26	$70.43	$73.73	$135.10
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $139.22 / $173.33 / $296.45	Professional	TC	$139.22	$173.33	$296.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $159.21 / $294.58	Professional		$94.48	$159.21	$294.58
United Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $314.10 / $624.04	Professional		$195.51	$314.10	$624.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.23 / $99.04 / $206.89	Professional	26	$62.23	$99.04	$206.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.69 / $230.44 / $417.16	Professional	TC	$134.69	$230.44	$417.16