Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.35 / $226.36 / $300.38	Facility	26	$102.35	$226.36	$300.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $425.70 / $1,538.57	Professional		$271.20	$425.70	$1,538.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $100.42 / $204.93	Professional	26	$60.39	$100.42	$204.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.43 / $306.18 / $1,053.86	Professional	TC	$200.43	$306.18	$1,053.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.32 / $800.76 / $1,038.27	Professional		$258.32	$800.76	$1,038.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.12 / $155.63 / $192.13	Professional	26	$67.12	$155.63	$192.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.20 / $624.25 / $861.86	Professional	TC	$191.20	$624.25	$861.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.14 / $554.03 / $879.34	Professional		$363.14	$554.03	$879.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $92.20 / $170.40	Professional	26	$75.06	$92.20	$170.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.50 / $462.56 / $751.28	Professional	TC	$279.50	$462.56	$751.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $291.05 / $507.65 / $662.36	Professional		$291.05	$507.65	$662.36
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $71.45 / $74.48 / $136.51	Professional	26	$71.45	$74.48	$136.51
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $209.18 / $260.51 / $445.02	Professional	TC	$209.18	$260.51	$445.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $133.83 / $405.03	Professional		$95.45	$133.83	$405.03
United Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $480.83 / $845.48	Professional		$279.89	$480.83	$845.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.99 / $98.98 / $202.57	Professional	26	$62.99	$98.98	$202.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.77 / $332.96 / $639.87	Professional	TC	$204.77	$332.96	$639.87