Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.94 / $284.98 / $376.72	Facility	26	$127.94	$284.98	$376.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $440.87 / $1,918.49	Professional		$251.36	$440.87	$1,918.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $102.69 / $287.58	Professional	26	$75.65	$102.69	$287.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $167.97 / $312.93 / $1,088.50	Professional	TC	$167.97	$312.93	$1,088.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.14 / $872.70 / $1,093.56	Professional		$275.14	$872.70	$1,093.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.91 / $194.35 / $239.92	Professional	26	$83.91	$194.35	$239.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.24 / $628.42 / $873.27	Professional	TC	$191.24	$628.42	$873.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.68 / $652.46 / $1,130.55	Professional		$385.68	$652.46	$1,130.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.83 / $115.37 / $212.32	Professional	26	$93.83	$115.37	$212.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.19 / $503.87 / $815.23	Professional	TC	$281.19	$503.87	$815.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $310.54 / $676.54 / $893.55	Professional		$310.54	$676.54	$893.55
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $89.51 / $93.53 / $171.25	Professional	26	$89.51	$93.53	$171.25
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $209.61 / $260.94 / $583.41	Professional	TC	$209.61	$260.94	$583.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $183.12 / $456.17	Professional		$128.38	$183.12	$456.17
United Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $516.52 / $916.47	Professional		$287.12	$516.52	$916.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.06 / $123.42 / $252.44	Professional	26	$79.06	$123.42	$252.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.17 / $372.47 / $640.95	Professional	TC	$194.17	$372.47	$640.95