Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.03 / $296.51 / $393.73	Facility	26	$133.03	$296.51	$393.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.22 / $468.09 / $1,669.00	Professional		$265.22	$468.09	$1,669.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $133.03 / $441.50	Professional	26	$76.45	$133.03	$441.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $335.05 / $1,155.00	Professional	TC	$229.09	$335.05	$1,155.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $777.45 / $939.13	Professional		$329.97	$777.45	$939.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.33 / $198.23 / $246.07	Professional	26	$87.33	$198.23	$246.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $242.64 / $588.09 / $697.74	Professional	TC	$242.64	$588.09	$697.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.58 / $513.35 / $932.57	Professional		$386.58	$513.35	$932.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.65 / $124.43 / $220.84	Professional	26	$97.65	$124.43	$220.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.08 / $387.06 / $694.11	Professional	TC	$281.08	$387.06	$694.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $358.46 / $444.21 / $625.37	Professional		$358.46	$444.21	$625.37
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $90.33 / $98.23 / $179.30	Professional	26	$90.33	$98.23	$179.30
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $251.37 / $280.68 / $446.09	Professional	TC	$251.37	$280.68	$446.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $224.56 / $630.50	Professional		$124.19	$224.56	$630.50
United Facility/Professional Professional Modifier Low / Median / High Price $316.98 / $477.12 / $975.88	Professional		$316.98	$477.12	$975.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.23 / $130.86 / $249.25	Professional	26	$82.23	$130.86	$249.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.72 / $345.66 / $722.84	Professional	TC	$214.72	$345.66	$722.84