Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $221.96 / $288.25	Facility	26	$166.95	$221.96	$288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $600.00 / $1,679.12	Professional		$370.50	$600.00	$1,679.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.49 / $161.00 / $314.89	Professional	26	$88.49	$161.00	$314.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $415.86 / $931.29	Professional	TC	$259.35	$415.86	$931.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $746.36 / $1,041.77	Professional		$246.64	$746.36	$1,041.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.88 / $149.44 / $184.48	Professional	26	$63.88	$149.44	$184.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.91 / $625.01 / $872.39	Professional	TC	$181.91	$625.01	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.42 / $619.17 / $932.72	Professional		$313.42	$619.17	$932.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.01 / $88.84 / $168.68	Professional	26	$64.01	$88.84	$168.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.14 / $527.67 / $744.90	Professional	TC	$247.14	$527.67	$744.90
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $267.94 / $621.04 / $747.25	Professional		$267.94	$621.04	$747.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $68.65 / $71.84 / $131.60	Professional	26	$68.65	$71.84	$131.60
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $189.41 / $235.88 / $498.07	Professional	TC	$189.41	$235.88	$498.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $99.98 / $203.25	Professional		$92.04	$99.98	$203.25
United Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $464.58 / $834.25	Professional		$252.89	$464.58	$834.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.31 / $96.00 / $216.01	Professional	26	$60.31	$96.00	$216.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.65 / $368.38 / $918.32	Professional	TC	$196.65	$368.38	$918.32