Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.92 / $145.77 / $235.48	Facility	26	$48.92	$145.77	$235.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $387.34 / $1,224.00	Professional		$200.88	$387.34	$1,224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.78 / $48.92 / $167.00	Professional	26	$33.78	$48.92	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $172.88 / $391.96 / $1,110.00	Professional	TC	$172.88	$391.96	$1,110.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.67 / $346.47 / $433.12	Professional		$255.67	$346.47	$433.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.54 / $56.88 / $67.23	Professional	26	$37.54	$56.88	$67.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.34 / $282.97 / $375.00	Professional	TC	$219.34	$282.97	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.01 / $312.14 / $648.94	Professional		$219.01	$312.14	$648.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.30 / $48.33 / $94.96	Professional	26	$41.30	$48.33	$94.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.49 / $251.54 / $561.85	Professional	TC	$176.49	$251.54	$561.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $225.86 / $315.19	Professional		$187.57	$225.86	$315.19
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $33.52 / $43.15	Professional	26	$32.22	$33.52	$43.15
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $155.34 / $161.49 / $272.04	Professional	TC	$155.34	$161.49	$272.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $90.11 / $117.07	Professional		$63.90	$90.11	$117.07
United Facility/Professional Professional Modifier Low / Median / High Price $214.14 / $409.86 / $659.34	Professional		$214.14	$409.86	$659.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.06 / $53.09 / $87.21	Professional	26	$27.06	$53.09	$87.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.63 / $330.28 / $571.76	Professional	TC	$190.63	$330.28	$571.76