Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.25 / $140.80 / $190.62	Facility	26	$45.25	$140.80	$190.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $291.19 / $1,228.00	Professional		$208.68	$291.19	$1,228.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.01 / $45.25 / $135.86	Professional	26	$34.01	$45.25	$135.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.44 / $245.94 / $607.05	Professional	TC	$177.44	$245.94	$607.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.01 / $385.51 / $440.32	Professional		$287.01	$385.51	$440.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.93 / $59.85 / $69.84	Professional	26	$39.93	$59.85	$69.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.65 / $330.68 / $374.92	Professional	TC	$246.65	$330.68	$374.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.02 / $366.09 / $678.80	Professional		$267.02	$366.09	$678.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.22 / $56.86 / $92.04	Professional	26	$50.22	$56.86	$92.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.85 / $315.86 / $577.14	Professional	TC	$213.85	$315.86	$577.14
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $261.57 / $310.30	Professional		$251.61	$261.57	$310.30
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $40.61 / $45.22	Professional	26	$39.07	$40.61	$45.22
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $212.53 / $220.95 / $265.08	Professional	TC	$212.53	$220.95	$265.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $79.26 / $122.88	Professional		$55.91	$79.26	$122.88
United Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $446.64 / $795.64	Professional		$240.50	$446.64	$795.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.64 / $61.14 / $110.02	Professional	26	$33.64	$61.14	$110.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.69 / $402.69 / $731.88	Professional	TC	$205.69	$402.69	$731.88