Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.73 / $171.11 / $232.93	Facility	26	$74.73	$171.11	$232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $244.73 / $975.00	Professional		$135.46	$244.73	$975.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $55.41 / $184.50	Professional	26	$37.79	$55.41	$184.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $67.73 / $122.37 / $513.04	Professional	52	$67.73	$122.37	$513.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $169.99 / $707.00	Professional	TC	$97.67	$169.99	$707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $435.74 / $608.21	Professional		$143.94	$435.74	$608.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.09 / $114.06 / $141.28	Professional	26	$52.09	$114.06	$141.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.85 / $343.31 / $479.20	Professional	TC	$91.85	$343.31	$479.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $367.97 / $529.44	Professional		$193.49	$367.97	$529.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $73.78 / $127.96	Professional	26	$58.25	$73.78	$127.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.55 / $280.08 / $398.42	Professional	TC	$125.55	$280.08	$398.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $327.22 / $422.13	Professional		$157.41	$327.22	$422.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $52.49 / $57.81 / $105.80	Professional	26	$52.49	$57.81	$105.80
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $96.22 / $119.84 / $230.40	Professional	TC	$96.22	$119.84	$230.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $139.35 / $310.12	Professional		$79.65	$139.35	$310.12
United Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $256.30 / $469.23	Professional		$152.41	$256.30	$469.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.07 / $81.56 / $166.92	Professional	26	$52.07	$81.56	$166.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.20 / $169.89 / $306.83	Professional	TC	$98.20	$169.89	$306.83