Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.29 / $592.00 / $956.32	Facility	26	$202.29	$592.00	$956.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $494.31 / $879.49	Professional		$317.47	$494.31	$879.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $182.28 / $275.33	Professional	26	$131.81	$182.28	$275.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.07 / $292.01 / $583.47	Professional	TC	$164.07	$292.01	$583.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.54 / $603.99 / $700.09	Professional		$413.54	$603.99	$700.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $139.36 / $238.26 / $280.23	Professional	26	$139.36	$238.26	$280.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.58 / $355.91 / $443.55	Professional	TC	$257.58	$355.91	$443.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.21 / $547.60 / $1,058.33	Professional		$447.21	$547.60	$1,058.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.52 / $202.49 / $360.62	Professional	26	$177.52	$202.49	$360.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.11 / $346.59 / $717.47	Professional	TC	$262.11	$346.59	$717.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $324.31 / $447.15 / $542.82	Professional		$324.31	$447.15	$542.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $131.57 / $136.78 / $175.98	Professional	26	$131.57	$136.78	$175.98
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $192.74 / $200.37 / $366.84	Professional	TC	$192.74	$200.37	$366.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Professional		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.11 / $602.04 / $1,057.77	Professional		$386.11	$602.04	$1,057.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $132.69 / $217.07 / $348.22	Professional	26	$132.69	$217.07	$348.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.97 / $408.13 / $717.08	Professional	TC	$231.97	$408.13	$717.08