Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $676.08 / $954.99	Facility	26	$223.87	$676.08	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $912.01	Professional		$234.42	$363.08	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $234.42 / $562.34	Professional	26	$138.04	$234.42	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $181.97 / $537.03	Professional	TC	$109.65	$181.97	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $676.08	Professional		$288.40	$446.68	$676.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $239.88 / $363.08	Professional	26	$147.91	$239.88	$363.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $213.80 / $309.03	Professional	TC	$138.04	$213.80	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $676.08	Professional		$338.84	$426.58	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $213.80 / $354.81	Professional	26	$169.82	$213.80	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $208.93 / $331.13	Professional	TC	$165.96	$208.93	$331.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $389.05	Professional		$257.04	$354.81	$389.05
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $177.83 / $208.93	Professional	26	$131.83	$177.83	$208.93
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $165.96 / $199.53	Professional	TC	$128.82	$165.96	$199.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $660.69	Professional		$251.19	$380.19	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $199.53 / $338.84	Professional	26	$125.89	$199.53	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $186.21 / $316.23	Professional	TC	$117.49	$186.21	$316.23