Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.98 / $188.47 / $249.85	Facility	26	$84.98	$188.47	$249.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.95 / $340.48 / $1,404.00	Professional		$233.95	$340.48	$1,404.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $84.98 / $192.34	Professional	26	$50.07	$84.98	$192.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.12 / $255.50 / $460.31	Professional	TC	$175.12	$255.50	$460.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.04 / $602.13 / $714.40	Professional		$247.04	$602.13	$714.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.84 / $129.31 / $159.63	Professional	26	$55.84	$129.31	$159.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.20 / $478.60 / $567.83	Professional	TC	$191.20	$478.60	$567.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.10 / $449.15 / $730.85	Professional		$317.10	$449.15	$730.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $76.95 / $141.33	Professional	26	$62.44	$76.95	$141.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.06 / $373.41 / $595.05	Professional	TC	$245.06	$373.41	$595.05
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $269.47 / $384.25 / $491.49	Professional		$269.47	$384.25	$491.49
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $59.31 / $61.96 / $113.52	Professional	26	$59.31	$61.96	$113.52
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $200.43 / $249.63 / $377.36	Professional	TC	$200.43	$249.63	$377.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $105.68 / $164.38	Professional		$79.38	$105.68	$164.38
United Facility/Professional Professional Modifier Low / Median / High Price $234.88 / $353.54 / $721.09	Professional		$234.88	$353.54	$721.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.07 / $85.14 / $169.42	Professional	26	$52.07	$85.14	$169.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.66 / $284.80 / $562.66	Professional	TC	$180.66	$284.80	$562.66