Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.45 / $283.89 / $376.80	Facility	26	$127.45	$283.89	$376.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $300.14 / $1,141.00	Professional		$193.50	$300.14	$1,141.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $108.79 / $432.24	Professional	26	$72.87	$108.79	$432.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.43 / $172.70 / $602.00	Professional	TC	$117.43	$172.70	$602.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.61 / $491.92 / $583.64	Professional		$197.61	$491.92	$583.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.58 / $189.70 / $235.48	Professional	26	$83.58	$189.70	$235.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $310.68 / $368.61	Professional	TC	$114.04	$310.68	$368.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $341.13 / $599.70	Professional		$251.11	$341.13	$599.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.46 / $117.76 / $211.49	Professional	26	$93.46	$117.76	$211.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.91 / $204.98 / $349.47	Professional	TC	$144.91	$204.98	$349.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $216.84 / $279.27 / $382.27	Professional		$216.84	$279.27	$382.27
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $86.15 / $93.16 / $170.54	Professional	26	$86.15	$93.16	$170.54
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $119.47 / $147.32 / $211.75	Professional	TC	$119.47	$147.32	$211.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $235.71 / $396.69	Professional		$127.86	$235.71	$396.69
United Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $288.95 / $591.40	Professional		$187.68	$288.95	$591.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.67 / $127.44 / $260.70	Professional	26	$78.67	$127.44	$260.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.42 / $165.00 / $339.95	Professional	TC	$110.42	$165.00	$339.95