Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.42 / $157.88 / $232.93	Facility	26	$75.42	$157.88	$232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $222.27 / $497.60	Professional		$134.40	$222.27	$497.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $75.42 / $149.80	Professional	26	$46.10	$75.42	$149.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $146.85 / $298.20	Professional	TC	$88.29	$146.85	$298.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $296.88 / $379.84	Professional		$148.97	$296.88	$379.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.17 / $103.80 / $151.62	Professional	26	$49.17	$103.80	$151.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.21 / $193.08 / $294.64	Professional	TC	$90.21	$193.08	$294.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $232.18 / $432.14	Professional		$172.55	$232.18	$432.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $72.41 / $133.29	Professional	26	$58.25	$72.41	$133.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.73 / $155.32 / $281.05	Professional	TC	$112.73	$155.32	$281.05
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $195.82 / $331.82	Professional		$157.43	$195.82	$331.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $47.37 / $57.81 / $115.29	Professional	26	$47.37	$57.81	$115.29
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $95.38 / $105.19 / $216.53	Professional	TC	$95.38	$105.19	$216.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $174.00 / $309.11	Professional		$74.02	$174.00	$309.11
United Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $226.05 / $469.28	Professional		$146.72	$226.05	$469.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.07 / $79.22 / $153.58	Professional	26	$48.07	$79.22	$153.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.36 / $150.87 / $308.77	Professional	TC	$95.36	$150.87	$308.77