Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.36 / $218.93 / $317.94	Facility	26	$83.36	$218.93	$317.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $185.16 / $453.25	Professional		$146.25	$185.16	$453.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.39 / $86.19 / $293.83	Professional	26	$51.39	$86.19	$293.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.16 / $101.80 / $212.80	Professional	TC	$70.16	$101.80	$212.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $217.63 / $258.20	Professional		$124.07	$217.63	$258.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.71 / $90.36 / $111.02	Professional	26	$60.71	$90.36	$111.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.40 / $126.13 / $160.78	Professional	TC	$64.40	$126.13	$160.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.45 / $340.82 / $537.91	Professional		$169.45	$340.82	$537.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.41 / $86.37 / $162.94	Professional	26	$61.41	$86.37	$162.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.49 / $195.69 / $340.41	Professional	TC	$90.49	$195.69	$340.41
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $210.15 / $497.46	Professional		$146.07	$210.15	$497.46
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $58.62 / $75.66 / $143.33	Professional	26	$58.62	$75.66	$143.33
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $65.44 / $81.45 / $139.34	Professional	TC	$65.44	$81.45	$139.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $179.35 / $215.77	Professional		$99.84	$179.35	$215.77
United Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $218.03 / $452.64	Professional		$144.86	$218.03	$452.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.79 / $104.42 / $216.78	Professional	26	$63.79	$104.42	$216.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.48 / $131.68 / $240.93	Professional	TC	$75.48	$131.68	$240.93