Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $199.91 / $259.11	Facility	26	$166.95	$199.91	$259.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.75 / $600.00 / $1,866.00	Professional		$393.75	$600.00	$1,866.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.48 / $166.94 / $201.49	Professional	26	$79.48	$166.94	$201.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $415.86 / $641.91	Professional	TC	$259.35	$415.86	$641.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.55 / $733.16 / $1,023.34	Professional		$235.55	$733.16	$1,023.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.53 / $133.18 / $164.40	Professional	26	$57.53	$133.18	$164.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.02 / $625.01 / $872.39	Professional	TC	$178.02	$625.01	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $629.03 / $887.53	Professional		$318.14	$629.03	$887.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.34 / $79.23 / $150.22	Professional	26	$64.34	$79.23	$150.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.54 / $549.22 / $797.78	Professional	TC	$242.54	$549.22	$797.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $256.83 / $623.47 / $806.84	Professional		$256.83	$623.47	$806.84
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.40 / $64.23 / $117.72	Professional	26	$61.40	$64.23	$117.72
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $186.05 / $231.55 / $559.35	Professional	TC	$186.05	$231.55	$559.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $115.56 / $931.42	Professional		$81.81	$115.56	$931.42
United Facility/Professional Professional Modifier Low / Median / High Price $238.96 / $441.99 / $876.56	Professional		$238.96	$441.99	$876.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.13 / $85.08 / $202.44	Professional	26	$53.13	$85.08	$202.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $175.78 / $334.32 / $696.38	Professional	TC	$175.78	$334.32	$696.38