Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $248.96 / $321.94	Facility	26	$166.95	$248.96	$321.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $600.00 / $1,811.52	Professional		$370.50	$600.00	$1,811.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.59 / $145.65 / $196.44	Professional	26	$79.59	$145.65	$196.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $433.05 / $931.29	Professional	TC	$259.35	$433.05	$931.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $913.63 / $1,275.24	Professional		$268.17	$913.63	$1,275.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.29 / $144.06 / $178.87	Professional	26	$72.29	$144.06	$178.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.88 / $805.47 / $1,124.27	Professional	TC	$195.88	$805.47	$1,124.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.66 / $634.72 / $1,011.36	Professional		$361.66	$634.72	$1,011.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.27 / $91.86 / $189.90	Professional	26	$69.27	$91.86	$189.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.38 / $554.45 / $812.22	Professional	TC	$267.38	$554.45	$812.22
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $648.11 / $838.73	Professional		$292.52	$648.11	$838.73
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.40 / $80.23 / $146.85	Professional	26	$61.40	$80.23	$146.85
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $205.05 / $255.25 / $590.38	Professional	TC	$205.05	$255.25	$590.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $110.56 / $113.37	Professional		$102.76	$110.56	$113.37
United Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $498.07 / $947.14	Professional		$266.45	$498.07	$947.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.99 / $105.95 / $252.41	Professional	26	$56.99	$105.95	$252.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.02 / $362.64 / $748.39	Professional	TC	$196.02	$362.64	$748.39