Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.04 / $417.97 / $675.18	Facility	26	$142.04	$417.97	$675.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $224.88 / $791.71	Professional		$179.81	$224.88	$791.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.92 / $142.04 / $390.95	Professional	26	$90.92	$142.04	$390.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.70 / $74.28 / $175.40	Professional	TC	$41.70	$74.28	$175.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $278.39 / $334.52	Professional		$132.75	$278.39	$334.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.08 / $168.55 / $201.01	Professional	26	$98.08	$168.55	$201.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $113.54 / $134.71	Professional	TC	$32.86	$113.54	$134.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $480.65 / $745.19	Professional		$187.04	$480.65	$745.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.94 / $142.11 / $271.26	Professional	26	$123.94	$142.11	$271.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.23 / $124.82 / $608.70	Professional	TC	$43.23	$124.82	$608.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $426.92 / $669.41	Professional		$163.63	$426.92	$669.41
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $96.73 / $100.56 / $123.24	Professional	26	$96.73	$100.56	$123.24
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $44.58 / $46.16 / $101.98	Professional	TC	$44.58	$46.16	$101.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $190.46 / $190.46	Professional		$190.46	$190.46	$190.46
United Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $237.44 / $678.99	Professional		$134.33	$237.44	$678.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.48 / $153.25 / $245.85	Professional	26	$103.48	$153.25	$245.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $47.01 / $361.08	Professional	TC	$26.60	$47.01	$361.08