Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $147.91 / $173.78	Facility	26	$46.77	$147.91	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $1,380.38	Professional		$234.42	$371.54	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $75.86 / $128.82	Professional	26	$30.90	$75.86	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $275.42 / $870.96	Professional	TC	$199.53	$275.42	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $660.69	Professional		$323.59	$426.58	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $57.54 / $93.33	Professional	26	$37.15	$57.54	$93.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $363.08 / $575.44	Professional	TC	$281.84	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $794.33	Professional		$239.88	$436.52	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $53.70 / $83.18	Professional	26	$45.71	$53.70	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $380.19 / $707.95	Professional	TC	$199.53	$380.19	$707.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $346.74	Professional		$251.19	$309.03	$346.74
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $41.69 / $43.65	Professional	26	$35.48	$41.69	$43.65
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $302.00 / $309.03	Professional	TC	$251.19	$302.00	$309.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Professional		$52.48	$52.48	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $707.95	Professional		$245.47	$416.87	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $51.29 / $89.13	Professional	26	$30.20	$51.29	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $407.38 / $724.44	Professional	TC	$218.78	$407.38	$724.44