Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $246.65 / $318.94	Facility	26	$166.95	$246.65	$318.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $600.00 / $2,131.00	Professional		$313.26	$600.00	$2,131.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.72 / $166.95 / $400.28	Professional	26	$76.72	$166.95	$400.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $215.47 / $385.24 / $880.41	Professional	TC	$215.47	$385.24	$880.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $733.89 / $1,074.25	Professional		$206.74	$733.89	$1,074.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.27 / $170.13 / $207.45	Professional	26	$71.27	$170.13	$207.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.47 / $579.34 / $872.39	Professional	TC	$135.47	$579.34	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.97 / $681.36 / $969.22	Professional		$277.97	$681.36	$969.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.64 / $102.51 / $195.34	Professional	26	$82.64	$102.51	$195.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.54 / $512.38 / $837.85	Professional	TC	$184.54	$512.38	$837.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $619.32 / $1,063.31	Professional		$234.45	$619.32	$1,063.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $76.79 / $81.86 / $145.44	Professional	26	$76.79	$81.86	$145.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $141.52 / $176.16 / $453.07	Professional	TC	$141.52	$176.16	$453.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $146.22 / $179.35	Professional		$98.55	$146.22	$179.35
United Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $403.68 / $760.06	Professional		$216.79	$403.68	$760.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.63 / $106.61 / $238.83	Professional	26	$66.63	$106.61	$238.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.53 / $255.22 / $501.17	Professional	TC	$128.53	$255.22	$501.17