Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.04 / $197.64 / $262.14	Facility	26	$89.04	$197.64	$262.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.11 / $340.04 / $520.83	Professional		$203.11	$340.04	$520.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $89.04 / $205.78	Professional	26	$52.46	$89.04	$205.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $139.47 / $254.96 / $440.62	Professional	TC	$139.47	$254.96	$440.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.52 / $541.38 / $755.66	Professional		$190.52	$541.38	$755.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $135.50 / $167.27	Professional	26	$57.89	$135.50	$167.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.19 / $431.35 / $602.07	Professional	TC	$133.19	$431.35	$602.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.49 / $433.02 / $664.25	Professional		$232.49	$433.02	$664.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.48 / $80.37 / $148.12	Professional	26	$65.48	$80.37	$148.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.80 / $353.89 / $487.78	Professional	TC	$165.80	$353.89	$487.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $405.03 / $495.33	Professional		$199.68	$405.03	$495.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $62.07 / $64.98 / $119.13	Professional	26	$62.07	$64.98	$119.13
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $130.12 / $161.94 / $287.43	Professional	TC	$130.12	$161.94	$287.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $114.21 / $179.97	Professional		$81.02	$114.21	$179.97
United Facility/Professional Professional Modifier Low / Median / High Price $198.18 / $317.58 / $541.58	Professional		$198.18	$317.58	$541.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $89.30 / $176.11	Professional	26	$54.86	$89.30	$176.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.74 / $230.00 / $419.82	Professional	TC	$131.74	$230.00	$419.82