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 $338.84 / $436.52 / $954.99	Professional		$338.84	$436.52	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $162.18 / $588.84	Professional	26	$128.82	$162.18	$588.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $269.15 / $616.60	Professional	TC	$199.53	$269.15	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $977.24	Professional		$363.08	$562.34	$977.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $239.88 / $363.08	Professional	26	$144.54	$239.88	$363.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $331.13 / $616.60	Professional	TC	$213.80	$331.13	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,047.13	Professional		$446.68	$575.44	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $213.80 / $354.81	Professional	26	$173.78	$213.80	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $371.54 / $724.44	Professional	TC	$263.03	$371.54	$724.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $630.96	Professional		$323.59	$446.68	$630.96
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 $190.55 / $371.54 / $446.68	Professional	TC	$190.55	$371.54	$446.68
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 $354.81 / $575.44 / $954.99	Professional		$354.81	$575.44	$954.99
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 $204.17 / $363.08 / $616.60	Professional	TC	$204.17	$363.08	$616.60