Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.01 / $193.06 / $255.98	Facility	26	$87.01	$193.06	$255.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $223.99 / $927.18	Professional		$153.81	$223.99	$927.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $87.01 / $199.11	Professional	26	$51.28	$87.01	$199.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.61 / $155.88 / $598.58	Professional	TC	$93.61	$155.88	$598.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $429.71 / $599.44	Professional		$141.07	$429.71	$599.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.56 / $132.41 / $163.46	Professional	26	$56.56	$132.41	$163.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.51 / $298.41 / $449.35	Professional	TC	$84.51	$298.41	$449.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $357.01 / $514.07	Professional		$197.75	$357.01	$514.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.96 / $78.80 / $144.72	Professional	26	$63.96	$78.80	$144.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.07 / $267.94 / $381.14	Professional	TC	$123.07	$267.94	$381.14
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $321.24 / $409.86	Professional		$161.12	$321.24	$409.86
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $63.47 / $116.34	Professional	26	$60.69	$63.47	$116.34
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $94.33 / $117.46 / $216.04	Professional	TC	$94.33	$117.46	$216.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $109.10 / $225.67	Professional		$81.33	$109.10	$225.67
United Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $253.66 / $442.07	Professional		$143.59	$253.66	$442.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.81 / $84.11 / $172.03	Professional	26	$52.81	$84.11	$172.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.71 / $156.07 / $274.08	Professional	TC	$87.71	$156.07	$274.08