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 $178.77 / $331.29 / $1,007.61	Professional		$178.77	$331.29	$1,007.61
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 $141.60 / $255.50 / $706.78	Professional	TC	$141.60	$255.50	$706.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $531.32 / $741.61	Professional		$180.95	$531.32	$741.61
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 $125.11 / $426.31 / $595.04	Professional	TC	$125.11	$426.31	$595.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $392.94 / $660.34	Professional		$243.52	$392.94	$660.34
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 $170.63 / $296.11 / $472.34	Professional	TC	$170.63	$296.11	$472.34
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $197.45 / $357.96 / $457.84	Professional		$197.45	$357.96	$457.84
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $59.69 / $61.96 / $113.52	Professional	26	$59.69	$61.96	$113.52
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $130.87 / $162.90 / $281.20	Professional	TC	$130.87	$162.90	$281.20
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 $193.82 / $311.06 / $560.35	Professional		$193.82	$311.06	$560.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.57 / $81.61 / $166.92	Professional	26	$52.57	$81.61	$166.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.13 / $215.79 / $414.11	Professional	TC	$133.13	$215.79	$414.11