Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $213.80 / $257.04	Facility	26	$95.50	$213.80	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $1,122.02	Professional		$208.93	$309.03	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $190.55	Professional	26	$51.29	$83.18	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $478.63	Professional	TC	$158.49	$218.78	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $524.81 / $707.95	Professional		$251.19	$524.81	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $112.20 / $147.91	Professional	26	$57.54	$112.20	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $407.38 / $549.54	Professional	TC	$190.55	$407.38	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $724.44	Professional		$234.42	$436.52	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $81.28 / $162.18	Professional	26	$54.95	$81.28	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $346.74 / $588.84	Professional	TC	$173.78	$346.74	$588.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $478.63	Professional		$288.40	$398.11	$478.63
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $87.10	Professional	26	$58.88	$72.44	$87.10
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $263.03 / $363.08	Professional	TC	$208.93	$263.03	$363.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $141.25	Professional		$79.43	$95.50	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $588.84	Professional		$208.93	$323.59	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $141.25	Professional	26	$47.86	$66.07	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $251.19 / $467.74	Professional	TC	$158.49	$251.19	$467.74