Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.04 / $196.45 / $260.52	Facility	26	$89.04	$196.45	$260.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $413.27 / $1,093.73	Professional		$217.40	$413.27	$1,093.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $87.10 / $155.79	Professional	26	$52.78	$87.10	$155.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.40 / $324.23 / $542.09	Professional	TC	$174.40	$324.23	$542.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.25 / $674.68 / $941.72	Professional		$212.25	$674.68	$941.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.20 / $135.50 / $167.27	Professional	26	$58.20	$135.50	$167.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.05 / $564.65 / $788.14	Professional	TC	$154.05	$564.65	$788.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.12 / $461.18 / $799.10	Professional		$286.12	$461.18	$799.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.08 / $79.88 / $148.12	Professional	26	$65.08	$79.88	$148.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.38 / $371.30 / $581.77	Professional	TC	$210.38	$371.30	$581.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $231.56 / $439.76 / $581.47	Professional		$231.56	$439.76	$581.47
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $62.38 / $64.58 / $118.47	Professional	26	$62.38	$64.58	$118.47
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $161.28 / $200.81 / $373.15	Professional	TC	$161.28	$200.81	$373.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $110.59 / $115.76	Professional		$110.59	$110.59	$115.76
United Facility/Professional Professional Modifier Low / Median / High Price $225.98 / $380.36 / $695.72	Professional		$225.98	$380.36	$695.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $85.53 / $177.66	Professional	26	$54.86	$85.53	$177.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.13 / $283.51 / $528.49	Professional	TC	$169.13	$283.51	$528.49