Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $288.40 / $338.84	Facility	26	$186.21	$288.40	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,698.24	Professional		$251.19	$478.63	$1,698.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $120.23 / $251.19	Professional	26	$72.44	$120.23	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $309.03 / $691.83	Professional	TC	$181.97	$309.03	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $707.95 / $1,230.27	Professional		$269.15	$707.95	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $169.82	Professional	26	$70.79	$125.89	$169.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $512.86 / $1,096.48	Professional	TC	$194.98	$512.86	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $977.24	Professional		$309.03	$630.96	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $93.33 / $208.93	Professional	26	$61.66	$93.33	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $549.54 / $794.33	Professional	TC	$257.04	$549.54	$794.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $831.76	Professional		$354.81	$645.65	$831.76
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $112.20	Professional	26	$61.66	$91.20	$112.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $275.42 / $616.60	Professional	TC	$213.80	$275.42	$616.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $125.89	Professional		$100.00	$109.65	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $912.01	Professional		$239.88	$398.11	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $83.18 / $194.98	Professional	26	$53.70	$83.18	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $275.42 / $707.95	Professional	TC	$173.78	$275.42	$707.95