Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.98 / $194.72 / $261.33	Facility	26	$62.98	$194.72	$261.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.82 / $414.08 / $797.77	Professional		$296.82	$414.08	$797.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $62.98 / $140.13	Professional	26	$43.41	$62.98	$140.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $253.41 / $351.10 / $672.97	Professional	TC	$253.41	$351.10	$672.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.23 / $902.23 / $1,074.25	Professional		$333.23	$902.23	$1,074.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.10 / $141.38 / $167.76	Professional	26	$53.10	$141.38	$167.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.13 / $764.03 / $906.49	Professional	TC	$280.13	$764.03	$906.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.66 / $528.15 / $858.79	Professional		$457.66	$528.15	$858.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.66 / $80.12 / $124.85	Professional	26	$69.66	$80.12	$124.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $379.91 / $444.23 / $735.64	Professional	TC	$379.91	$444.23	$735.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $357.19 / $371.33 / $517.05	Professional		$357.19	$371.33	$517.05
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $51.65 / $53.69 / $62.66	Professional	26	$51.65	$53.69	$62.66
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $305.54 / $306.00 / $317.64	Professional	TC	$305.54	$306.00	$317.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $87.35 / $87.35	Professional		$87.35	$87.35	$87.35
United Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $541.33 / $942.06	Professional		$325.08	$541.33	$942.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.90 / $83.87 / $153.46	Professional	26	$46.90	$83.87	$153.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.81 / $552.54 / $841.80	Professional	TC	$288.81	$552.54	$841.80