Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.11 / $199.79 / $251.48	Facility	26	$91.11	$199.79	$251.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $342.07 / $1,238.00	Professional		$181.39	$342.07	$1,238.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.49 / $63.00 / $202.98	Professional	26	$51.49	$63.00	$202.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.19 / $254.42 / $920.95	Professional	TC	$141.19	$254.42	$920.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $546.27 / $754.78	Professional		$181.30	$546.27	$754.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.19 / $131.75 / $163.58	Professional	26	$56.19	$131.75	$163.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.11 / $428.83 / $598.55	Professional	TC	$125.11	$428.83	$598.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.01 / $430.58 / $656.24	Professional		$244.01	$430.58	$656.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.92 / $81.02 / $151.58	Professional	26	$63.92	$81.02	$151.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.63 / $348.64 / $476.97	Professional	TC	$170.63	$348.64	$476.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $402.96 / $496.85	Professional		$197.85	$402.96	$496.85
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $60.22 / $63.50 / $114.20	Professional	26	$60.22	$63.50	$114.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $130.87 / $162.90 / $286.64	Professional	TC	$130.87	$162.90	$286.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $116.74 / $363.57	Professional		$85.94	$116.74	$363.57
United Facility/Professional Professional Modifier Low / Median / High Price $189.59 / $308.62 / $566.88	Professional		$189.59	$308.62	$566.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.12 / $88.13 / $180.26	Professional	26	$56.12	$88.13	$180.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.04 / $237.90 / $409.47	Professional	TC	$131.04	$237.90	$409.47