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 $176.15 / $328.23 / $496.00	Professional		$176.15	$328.23	$496.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $84.98 / $194.47	Professional	26	$50.07	$84.98	$194.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.77 / $250.09 / $419.56	Professional	TC	$171.77	$250.09	$419.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $618.41 / $733.71	Professional		$218.46	$618.41	$733.71
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 $162.62 / $473.38 / $587.14	Professional	TC	$162.62	$473.38	$587.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.67 / $400.35 / $682.22	Professional		$287.67	$400.35	$682.22
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 $220.81 / $322.74 / $540.89	Professional	TC	$220.81	$322.74	$540.89
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $237.19 / $363.88 / $483.68	Professional		$237.19	$363.88	$483.68
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 $169.27 / $210.76 / $325.42	Professional	TC	$169.27	$210.76	$325.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $106.29 / $169.32	Professional		$79.38	$106.29	$169.32
United Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $355.16 / $663.95	Professional		$223.10	$355.16	$663.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.07 / $81.56 / $166.92	Professional	26	$52.07	$81.56	$166.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.44 / $270.92 / $463.79	Professional	TC	$161.44	$270.92	$463.79