Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.26 / $281.45 / $372.63	Facility	26	$126.26	$281.45	$372.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $426.19 / $904.84	Professional		$264.62	$426.19	$904.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $126.26 / $447.07	Professional	26	$73.00	$126.26	$447.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.20 / $282.39 / $459.28	Professional	TC	$183.20	$282.39	$459.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.53 / $681.29 / $808.32	Professional		$246.53	$681.29	$808.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.18 / $188.16 / $232.28	Professional	26	$82.18	$188.16	$232.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.37 / $475.57 / $595.04	Professional	TC	$163.37	$475.57	$595.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.68 / $412.14 / $819.40	Professional		$290.68	$412.14	$819.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.99 / $114.13 / $216.74	Professional	26	$92.99	$114.13	$216.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.30 / $285.33 / $587.80	Professional	TC	$198.30	$285.33	$587.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $340.10 / $473.48	Professional		$269.95	$340.10	$473.48
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $77.06 / $92.69 / $170.06	Professional	26	$77.06	$92.69	$170.06
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $171.22 / $210.53 / $303.45	Professional	TC	$171.22	$210.53	$303.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $182.43 / $258.75	Professional		$115.13	$182.43	$258.75
United Facility/Professional Professional Modifier Low / Median / High Price $248.58 / $372.80 / $739.78	Professional		$248.58	$372.80	$739.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $122.37 / $250.30	Professional	26	$75.45	$122.37	$250.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.06 / $239.17 / $496.82	Professional	TC	$154.06	$239.17	$496.82