Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.04 / $197.64 / $262.14	Facility	26	$89.04	$197.64	$262.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $392.16 / $1,226.00	Professional		$269.83	$392.16	$1,226.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $89.04 / $190.75	Professional	26	$52.46	$89.04	$190.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.11 / $303.12 / $533.79	Professional	TC	$194.11	$303.12	$533.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.40 / $772.27 / $916.26	Professional		$249.40	$772.27	$916.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $135.50 / $167.27	Professional	26	$57.89	$135.50	$167.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.20 / $608.16 / $762.68	Professional	TC	$191.20	$608.16	$762.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.03 / $542.13 / $844.16	Professional		$352.03	$542.13	$844.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.08 / $80.14 / $151.94	Professional	26	$65.08	$80.14	$151.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $278.77 / $462.56 / $669.78	Professional	TC	$278.77	$462.56	$669.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $487.00 / $595.86	Professional		$281.52	$487.00	$595.86
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $62.07 / $64.98 / $119.13	Professional	26	$62.07	$64.98	$119.13
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 $80.55 / $82.79 / $88.27	Professional		$80.55	$82.79	$88.27
United Facility/Professional Professional Modifier Low / Median / High Price $273.54 / $420.66 / $759.61	Professional		$273.54	$420.66	$759.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $86.10 / $178.75	Professional	26	$54.86	$86.10	$178.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.01 / $311.89 / $637.94	Professional	TC	$214.01	$311.89	$637.94