Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $287.55 / $375.30	Facility	26	$166.95	$287.55	$375.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.17 / $585.09 / $946.01	Professional		$384.17	$585.09	$946.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $145.65 / $186.45	Professional	26	$111.15	$145.65	$186.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.17 / $433.05 / $682.61	Professional	TC	$269.17	$433.05	$682.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $961.41 / $1,341.93	Professional		$292.33	$961.41	$1,341.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.89 / $192.80 / $238.01	Professional	26	$82.89	$192.80	$238.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $209.46 / $804.85 / $1,123.40	Professional	TC	$209.46	$804.85	$1,123.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.34 / $729.63 / $1,108.10	Professional		$393.34	$729.63	$1,108.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $114.47 / $217.02	Professional	26	$82.72	$114.47	$217.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $284.76 / $630.39 / $896.71	Professional	TC	$284.76	$630.39	$896.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $738.74 / $889.38	Professional		$318.45	$738.74	$889.38
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $88.46 / $92.40 / $169.16	Professional	26	$88.46	$92.40	$169.16
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $218.36 / $271.83 / $556.25	Professional	TC	$218.36	$271.83	$556.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $122.00 / $126.25	Professional		$118.93	$122.00	$126.25
United Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $551.94 / $991.12	Professional		$276.60	$551.94	$991.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.81 / $126.39 / $279.81	Professional	26	$74.81	$126.39	$279.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.64 / $403.99 / $786.80	Professional	TC	$226.64	$403.99	$786.80