Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.14 / $206.85 / $272.91	Facility	26	$93.14	$206.85	$272.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.38 / $366.46 / $1,450.00	Professional		$238.38	$366.46	$1,450.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $93.14 / $222.01	Professional	26	$54.86	$93.14	$222.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.00 / $254.42 / $783.18	Professional	TC	$174.00	$254.42	$783.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.54 / $687.94 / $816.21	Professional		$252.54	$687.94	$816.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.34 / $140.91 / $173.97	Professional	26	$61.34	$140.91	$173.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.20 / $510.45 / $656.48	Professional	TC	$191.20	$510.45	$656.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.95 / $456.75 / $778.27	Professional		$324.95	$456.75	$778.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.59 / $84.19 / $154.97	Professional	26	$68.59	$84.19	$154.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.78 / $373.41 / $591.84	Professional	TC	$244.78	$373.41	$591.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $274.01 / $410.30 / $551.04	Professional		$274.01	$410.30	$551.04
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $68.08 / $124.56	Professional	26	$64.87	$68.08	$124.56
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $198.91 / $247.73 / $377.36	Professional	TC	$198.91	$247.73	$377.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $116.12 / $385.78	Professional		$87.17	$116.12	$385.78
United Facility/Professional Professional Modifier Low / Median / High Price $248.10 / $376.77 / $738.36	Professional		$248.10	$376.77	$738.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $91.45 / $184.30	Professional	26	$57.34	$91.45	$184.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.97 / $270.88 / $554.05	Professional	TC	$179.97	$270.88	$554.05