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 $120.23 / $251.19 / $537.03	Professional		$120.23	$251.19	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $181.97	Professional	26	$50.12	$83.18	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $218.78 / $407.38	Professional	TC	$138.04	$218.78	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $512.86 / $707.95	Professional		$218.78	$512.86	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $112.20 / $147.91	Professional	26	$54.95	$112.20	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $398.11 / $575.44	Professional	TC	$162.18	$398.11	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $676.08	Professional		$229.09	$398.11	$676.08
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 $165.96 / $316.23 / $512.86	Professional	TC	$165.96	$316.23	$512.86
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $457.09	Professional		$275.42	$363.08	$457.09
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 $177.83 / $229.09 / $323.59	Professional	TC	$177.83	$229.09	$323.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $112.20	Professional		$77.62	$89.13	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $549.54	Professional		$194.98	$295.12	$549.54
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 $141.25 / $223.87 / $426.58	Professional	TC	$141.25	$223.87	$426.58