Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $234.42 / $288.40	Facility	26	$104.71	$234.42	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $1,318.26	Professional		$218.78	$346.74	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $91.20 / $213.80	Professional	26	$54.95	$91.20	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $234.42 / $537.03	Professional	TC	$158.49	$234.42	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $794.33	Professional		$257.04	$575.44	$794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $123.03 / $162.18	Professional	26	$63.10	$123.03	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $457.09 / $630.96	Professional	TC	$190.55	$457.09	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $758.58	Professional		$239.88	$446.68	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $169.82	Professional	26	$60.26	$89.13	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $354.81 / $588.84	Professional	TC	$173.78	$354.81	$588.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $512.86	Professional		$295.12	$416.87	$512.86
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $95.50	Professional	26	$64.57	$79.43	$95.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $269.15 / $363.08	Professional	TC	$208.93	$269.15	$363.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $512.86	Professional		$85.11	$97.72	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $602.56	Professional		$213.80	$331.13	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $72.44 / $151.36	Professional	26	$52.48	$72.44	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $251.19 / $489.78	Professional	TC	$158.49	$251.19	$489.78