Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $295.73 / $386.10	Facility	26	$166.95	$295.73	$386.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.09 / $546.25 / $1,320.50	Professional		$386.09	$546.25	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.27 / $166.95 / $470.00	Professional	26	$118.27	$166.95	$470.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.82 / $358.03 / $930.25	Professional	TC	$267.82	$358.03	$930.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $966.44 / $1,348.96	Professional		$294.77	$966.44	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.03 / $199.00 / $245.65	Professional	26	$86.03	$199.00	$245.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.74 / $750.78 / $1,123.40	Professional	TC	$208.74	$750.78	$1,123.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.75 / $782.83 / $1,113.01	Professional		$395.75	$782.83	$1,113.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.20 / $118.24 / $224.17	Professional	26	$96.20	$118.24	$224.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.77 / $636.97 / $906.08	Professional	TC	$282.77	$636.97	$906.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $320.83 / $744.68 / $901.16	Professional		$320.83	$744.68	$901.16
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $91.61 / $96.34 / $175.78	Professional	26	$91.61	$96.34	$175.78
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $216.84 / $269.94 / $558.58	Professional	TC	$216.84	$269.94	$558.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $134.86 / $169.41	Professional		$125.50	$134.86	$169.41
United Facility/Professional Professional Modifier Low / Median / High Price $280.62 / $554.38 / $1,031.84	Professional		$280.62	$554.38	$1,031.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.37 / $130.40 / $287.77	Professional	26	$79.37	$130.40	$287.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.01 / $405.60 / $707.73	Professional	TC	$212.01	$405.60	$707.73