Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $243.15 / $312.68	Facility	26	$166.95	$243.15	$312.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $600.00 / $2,016.77	Professional		$257.41	$600.00	$2,016.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.22 / $166.95 / $402.00	Professional	26	$77.22	$166.95	$402.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.98 / $419.71 / $931.29	Professional	TC	$244.98	$419.71	$931.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.85 / $756.43 / $1,055.82	Professional		$212.85	$756.43	$1,055.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.23 / $161.83 / $199.77	Professional	26	$70.23	$161.83	$199.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.61 / $625.01 / $872.39	Professional	TC	$142.61	$625.01	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.05 / $622.48 / $868.10	Professional		$285.05	$622.48	$868.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $96.40 / $182.68	Professional	26	$71.48	$96.40	$182.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.49 / $516.20 / $748.02	Professional	TC	$193.49	$516.20	$748.02
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $231.55 / $600.54 / $742.56	Professional		$231.55	$600.54	$742.56
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $77.95 / $142.66	Professional	26	$74.20	$77.95	$142.66
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $148.36 / $184.70 / $446.47	Professional	TC	$148.36	$184.70	$446.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $133.32 / $214.80	Professional		$97.13	$133.32	$214.80
United Facility/Professional Professional Modifier Low / Median / High Price $225.16 / $419.38 / $757.61	Professional		$225.16	$419.38	$757.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.26 / $105.29 / $235.41	Professional	26	$63.26	$105.29	$235.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.74 / $273.64 / $559.23	Professional	TC	$153.74	$273.64	$559.23