Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $269.15 / $380.19	Facility	26	$89.13	$269.15	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $2,041.74	Professional		$117.49	$229.09	$2,041.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $316.23 / $954.99	Professional	26	$60.26	$316.23	$954.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $107.15 / $446.68	Professional	TC	$66.07	$107.15	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $309.03	Professional		$131.83	$239.88	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $147.91	Professional	26	$61.66	$100.00	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $141.25 / $181.97	Professional	TC	$69.18	$141.25	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $346.74	Professional		$158.49	$239.88	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $141.25	Professional	26	$69.18	$85.11	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $154.88 / $218.78	Professional	TC	$89.13	$154.88	$218.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $234.42	Professional		$151.36	$181.97	$234.42
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $83.18	Professional	26	$57.54	$70.79	$83.18
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $93.33 / $112.20	Professional	TC	$79.43	$93.33	$112.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $436.52	Professional		$112.20	$190.55	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $288.40	Professional		$128.82	$173.78	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $79.43 / $134.90	Professional	26	$50.12	$79.43	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $100.00 / $162.18	Professional	TC	$69.18	$100.00	$162.18