Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.29 / $593.42 / $958.62	Facility	26	$202.29	$593.42	$958.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $400.26 / $914.20	Professional		$255.18	$400.26	$914.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.92 / $202.29 / $500.34	Professional	26	$114.92	$202.29	$500.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $197.97 / $540.79	Professional	TC	$123.37	$197.97	$540.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $455.41 / $530.49	Professional		$287.02	$455.41	$530.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.51 / $238.26 / $280.23	Professional	26	$147.51	$238.26	$280.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.51 / $214.85 / $250.28	Professional	TC	$139.51	$214.85	$250.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.66 / $397.83 / $699.82	Professional		$347.66	$397.83	$699.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $174.15 / $201.46 / $360.62	Professional	26	$174.15	$201.46	$360.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.14 / $196.37 / $339.20	Professional	TC	$170.14	$196.37	$339.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $259.62 / $357.37 / $374.80	Professional		$259.62	$357.37	$374.80
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $131.57 / $136.78 / $176.37	Professional	26	$131.57	$136.78	$176.37
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $128.04 / $133.11 / $163.15	Professional	TC	$128.04	$133.11	$163.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $366.84 / $432.29	Professional		$360.00	$366.84	$432.29
United Facility/Professional Professional Modifier Low / Median / High Price $289.74 / $414.30 / $672.99	Professional		$289.74	$414.30	$672.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $149.63 / $217.59 / $355.05	Professional	26	$149.63	$217.59	$355.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.49 / $194.01 / $329.31	Professional	TC	$116.49	$194.01	$329.31