Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.89 / $131.47 / $173.25	Facility	26	$41.89	$131.47	$173.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $390.99 / $1,444.00	Professional		$251.87	$390.99	$1,444.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $46.39 / $171.00	Professional	26	$33.17	$46.39	$171.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $211.50 / $349.10 / $688.35	Professional	TC	$211.50	$349.10	$688.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.60 / $432.04 / $491.78	Professional		$319.60	$432.04	$491.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $55.88 / $65.22	Professional	26	$37.31	$55.88	$65.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.88 / $382.03 / $429.70	Professional	TC	$280.88	$382.03	$429.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.63 / $411.52 / $781.97	Professional		$255.63	$411.52	$781.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.81 / $53.10 / $83.03	Professional	26	$45.81	$53.10	$83.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.77 / $365.10 / $687.10	Professional	TC	$206.77	$365.10	$687.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $295.89 / $348.29	Professional		$248.37	$295.89	$348.29
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $37.06 / $41.83	Professional	26	$35.65	$37.06	$41.83
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $248.99 / $258.85 / $306.45	Professional	TC	$248.99	$258.85	$306.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $71.27 / $115.14	Professional		$51.64	$71.27	$115.14
United Facility/Professional Professional Modifier Low / Median / High Price $246.97 / $481.00 / $807.39	Professional		$246.97	$481.00	$807.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.27 / $57.71 / $108.59	Professional	26	$30.27	$57.71	$108.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.75 / $442.59 / $788.57	Professional	TC	$133.75	$442.59	$788.57