Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.82 / $219.89 / $268.27	Facility	26	$100.82	$219.89	$268.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $414.23 / $1,485.26	Professional		$246.90	$414.23	$1,485.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $100.81 / $202.04	Professional	26	$55.00	$100.81	$202.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.80 / $313.41 / $524.00	Professional	TC	$171.80	$313.41	$524.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $661.48 / $923.29	Professional		$213.25	$661.48	$923.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.92 / $145.72 / $174.43	Professional	26	$59.92	$145.72	$174.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.33 / $537.61 / $750.39	Professional	TC	$153.33	$537.61	$750.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $527.26 / $771.88	Professional		$287.52	$527.26	$771.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.69 / $90.02 / $166.83	Professional	26	$70.69	$90.02	$166.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.89 / $425.57 / $596.40	Professional	TC	$208.89	$425.57	$596.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $232.73 / $493.96 / $614.23	Professional		$232.73	$493.96	$614.23
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.65 / $70.05 / $122.47	Professional	26	$64.65	$70.05	$122.47
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $160.13 / $199.39 / $360.74	Professional	TC	$160.13	$199.39	$360.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $91.70 / $313.57	Professional		$82.92	$91.70	$313.57
United Facility/Professional Professional Modifier Low / Median / High Price $232.25 / $377.07 / $691.19	Professional		$232.25	$377.07	$691.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.91 / $97.03 / $198.47	Professional	26	$61.91	$97.03	$198.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.04 / $262.64 / $492.72	Professional	TC	$160.04	$262.64	$492.72