Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.94 / $304.70 / $390.52	Facility	26	$131.94	$304.70	$390.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $461.66 / $1,718.06	Professional		$275.00	$461.66	$1,718.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.72 / $131.94 / $298.63	Professional	26	$81.72	$131.94	$298.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.80 / $329.70 / $976.14	Professional	TC	$212.80	$329.70	$976.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $926.24 / $1,112.86	Professional		$277.85	$926.24	$1,112.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.01 / $203.99 / $249.90	Professional	26	$87.01	$203.99	$249.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.84 / $661.51 / $873.27	Professional	TC	$190.84	$661.51	$873.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $718.30 / $1,079.54	Professional		$403.00	$718.30	$1,079.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $123.85 / $225.60	Professional	26	$75.59	$123.85	$225.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $312.01 / $561.28 / $859.22	Professional	TC	$312.01	$561.28	$859.22
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $631.16 / $802.99	Professional		$314.00	$631.16	$802.99
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $94.12 / $97.49 / $177.94	Professional	26	$94.12	$97.49	$177.94
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $209.18 / $260.51 / $447.24	Professional	TC	$209.18	$260.51	$447.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $136.47 / $493.08	Professional		$120.35	$136.47	$493.08
United Facility/Professional Professional Modifier Low / Median / High Price $323.94 / $533.67 / $956.85	Professional		$323.94	$533.67	$956.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.04 / $134.91 / $265.47	Professional	26	$82.04	$134.91	$265.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.18 / $396.33 / $713.02	Professional	TC	$228.18	$396.33	$713.02