Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $331.13 / $407.38	Facility	26	$147.91	$331.13	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $1,318.26	Professional		$239.88	$389.05	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $302.00	Professional	26	$70.79	$95.50	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $239.88 / $602.56	Professional	TC	$162.18	$239.88	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $776.25 / $1,071.52	Professional		$281.84	$776.25	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $177.83 / $239.88	Professional	26	$87.10	$177.83	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $575.44 / $851.14	Professional	TC	$190.55	$575.44	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $691.83 / $1,023.29	Professional		$316.23	$691.83	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $128.82 / $229.09	Professional	26	$75.86	$128.82	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $537.03 / $831.76	Professional	TC	$229.09	$537.03	$831.76
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $794.33	Professional		$371.54	$630.96	$794.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $138.04	Professional	26	$97.72	$114.82	$138.04
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $281.84 / $467.74	Professional	TC	$213.80	$281.84	$467.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $177.83	Professional		$123.03	$138.04	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $851.14	Professional		$281.84	$467.74	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $104.71 / $218.78	Professional	26	$77.62	$104.71	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $338.84 / $630.96	Professional	TC	$199.53	$338.84	$630.96