Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.83 / $82.22 / $108.63	Facility	26	$26.83	$82.22	$108.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.95 / $281.16 / $1,193.00	Professional		$200.95	$281.16	$1,193.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $26.83 / $80.50	Professional	26	$17.98	$26.83	$80.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $182.97 / $254.33 / $431.04	Professional	TC	$182.97	$254.33	$431.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $350.42 / $411.56	Professional		$232.38	$350.42	$411.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.21 / $34.61 / $40.40	Professional	26	$23.21	$34.61	$40.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $209.14 / $315.38 / $371.15	Professional	TC	$209.14	$315.38	$371.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.54 / $360.99 / $579.14	Professional		$308.54	$360.99	$579.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $33.52 / $52.64	Professional	26	$29.15	$33.52	$52.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.43 / $325.88 / $527.21	Professional	TC	$279.43	$325.88	$527.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $251.54 / $348.61	Professional		$240.80	$251.54	$348.61
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $21.79 / $22.65 / $26.20	Professional	26	$21.79	$22.65	$26.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $219.01 / $225.34 / $227.68	Professional	TC	$219.01	$225.34	$227.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $35.63 / $72.56	Professional		$32.22	$35.63	$72.56
United Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $358.58 / $582.23	Professional		$219.12	$358.58	$582.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.76 / $34.86 / $63.80	Professional	26	$19.76	$34.86	$63.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.36 / $335.30 / $579.74	Professional	TC	$199.36	$335.30	$579.74