Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.96 / $147.86 / $200.12	Facility	26	$47.96	$147.86	$200.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.92 / $522.20 / $2,111.00	Professional		$408.92	$522.20	$2,111.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $49.83 / $146.97	Professional	26	$36.71	$49.83	$146.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.33 / $474.24 / $906.86	Professional	TC	$303.33	$474.24	$906.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.31 / $606.54 / $762.24	Professional		$414.31	$606.54	$762.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $73.18 / $95.85	Professional	26	$39.04	$73.18	$95.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $375.26 / $536.83 / $666.37	Professional	TC	$375.26	$536.83	$666.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.46 / $671.05 / $1,073.70	Professional		$570.46	$671.05	$1,073.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.11 / $60.64 / $93.29	Professional	26	$52.11	$60.64	$93.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $511.85 / $609.52 / $981.68	Professional	TC	$511.85	$609.52	$981.68
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $446.30 / $463.98 / $646.37	Professional		$446.30	$463.98	$646.37
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $38.57 / $40.10 / $47.50	Professional	26	$38.57	$40.10	$47.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $407.73 / $410.80 / $423.88	Professional	TC	$407.73	$410.80	$423.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $66.63 / $136.50	Professional		$58.75	$66.63	$136.50
United Facility/Professional Professional Modifier Low / Median / High Price $406.29 / $684.83 / $1,257.47	Professional		$406.29	$684.83	$1,257.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $64.16 / $115.59	Professional	26	$35.04	$64.16	$115.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $389.19 / $619.54 / $972.97	Professional	TC	$389.19	$619.54	$972.97