Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $436.52 / $524.81	Facility	26	$194.98	$436.52	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $1,445.44	Professional		$269.15	$389.05	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $169.82 / $501.19	Professional	26	$93.33	$169.82	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $239.88 / $501.19	Professional	TC	$162.18	$239.88	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $707.95 / $977.24	Professional		$309.03	$707.95	$977.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $229.09 / $302.00	Professional	26	$112.20	$229.09	$302.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $489.78 / $676.08	Professional	TC	$194.98	$489.78	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,202.26	Professional		$389.05	$758.58	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $162.18 / $323.59	Professional	26	$117.49	$162.18	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $588.84 / $891.25	Professional	TC	$263.03	$588.84	$891.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $870.96	Professional		$446.68	$691.83	$870.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $181.97	Professional	26	$107.15	$151.36	$181.97
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $331.13 / $446.68	Professional	TC	$257.04	$331.13	$446.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $234.42	Professional		$158.49	$165.96	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $954.99	Professional		$316.23	$524.81	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $134.90 / $281.84	Professional	26	$97.72	$134.90	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $346.74 / $660.69	Professional	TC	$208.93	$346.74	$660.69