Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.06 / $290.54 / $387.39	Facility	26	$132.06	$290.54	$387.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $460.14 / $1,206.57	Professional		$275.00	$460.14	$1,206.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.23 / $128.65 / $294.02	Professional	26	$70.23	$128.65	$294.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.80 / $328.08 / $586.22	Professional	TC	$212.80	$328.08	$586.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.80 / $923.18 / $1,101.46	Professional		$276.80	$923.18	$1,101.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $201.53 / $249.48	Professional	26	$85.17	$201.53	$249.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.84 / $658.23 / $872.39	Professional	TC	$190.84	$658.23	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $685.22 / $1,066.65	Professional		$403.00	$685.22	$1,066.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $118.63 / $220.22	Professional	26	$75.59	$118.63	$220.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $311.56 / $561.28 / $859.22	Professional	TC	$311.56	$561.28	$859.22
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $312.83 / $594.37 / $758.85	Professional		$312.83	$594.37	$758.85
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $92.97 / $96.28 / $175.89	Professional	26	$92.97	$96.28	$175.89
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $209.18 / $260.51 / $445.02	Professional	TC	$209.18	$260.51	$445.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $173.00	Professional		$164.66	$164.66	$173.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.29 / $504.36 / $976.40	Professional		$305.29	$504.36	$976.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.76 / $126.34 / $258.41	Professional	26	$80.76	$126.34	$258.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.82 / $411.03 / $714.11	Professional	TC	$234.82	$411.03	$714.11