Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.30 / $226.81 / $301.38	Facility	26	$60.30	$226.81	$301.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $194.27 / $380.67	Professional		$107.90	$194.27	$380.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $60.30 / $183.56	Professional	26	$43.04	$60.30	$183.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.86 / $110.52 / $323.37	Professional	TC	$64.86	$110.52	$323.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $324.82 / $427.50	Professional		$129.22	$324.82	$427.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.48 / $101.08 / $138.75	Professional	26	$66.48	$101.08	$138.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.25 / $211.23 / $298.29	Professional	TC	$61.25	$211.23	$298.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $343.42 / $762.72	Professional		$164.77	$343.42	$762.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.19 / $84.34 / $142.72	Professional	26	$65.19	$84.34	$142.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.61 / $229.94 / $687.50	Professional	TC	$82.61	$229.94	$687.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $301.02 / $685.15	Professional		$146.16	$301.02	$685.15
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $53.51 / $76.84 / $137.06	Professional	26	$53.51	$76.84	$137.06
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $66.95 / $83.35 / $165.38	Professional	TC	$66.95	$83.35	$165.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $104.45 / $197.06	Professional		$104.28	$104.45	$197.06
United Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $212.94 / $439.98	Professional		$137.66	$212.94	$439.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.13 / $98.73 / $150.60	Professional	26	$58.13	$98.73	$150.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.58 / $101.45 / $215.17	Professional	TC	$59.58	$101.45	$215.17