Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $218.78 / $269.15	Facility	26	$97.72	$218.78	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $870.96	Professional		$131.83	$245.47	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $77.62 / $194.98	Professional	26	$51.29	$77.62	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $134.90 / $309.03	Professional	TC	$77.62	$134.90	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $398.11 / $575.44	Professional		$141.25	$398.11	$575.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $114.82 / $151.36	Professional	26	$56.23	$114.82	$151.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $245.47 / $436.52	Professional	TC	$85.11	$245.47	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $489.78	Professional		$154.88	$338.84	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $83.18 / $147.91	Professional	26	$56.23	$83.18	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $245.47 / $338.84	Professional	TC	$91.20	$245.47	$338.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $407.38	Professional		$186.21	$331.13	$407.38
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $74.13 / $89.13	Professional	26	$60.26	$74.13	$89.13
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $128.82 / $257.04	Professional	TC	$97.72	$128.82	$257.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $524.81	Professional		$79.43	$100.00	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $407.38	Professional		$128.82	$213.80	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $144.54	Professional	26	$48.98	$67.61	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $131.83 / $245.47	Professional	TC	$77.62	$131.83	$245.47