Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.95 / $166.62 / $225.26	Facility	26	$53.95	$166.62	$225.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $401.45 / $1,700.00	Professional		$267.32	$401.45	$1,700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.21 / $53.95 / $163.00	Professional	26	$37.21	$53.95	$163.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $347.50 / $704.42	Professional	TC	$223.84	$347.50	$704.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.59 / $452.47 / $515.52	Professional		$330.59	$452.47	$515.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.25 / $70.06 / $83.12	Professional	26	$46.25	$70.06	$83.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.17 / $387.78 / $436.15	Professional	TC	$280.17	$387.78	$436.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $454.08 / $811.73	Professional		$302.39	$454.08	$811.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.59 / $67.29 / $108.69	Professional	26	$59.59	$67.29	$108.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.20 / $385.56 / $701.71	Professional	TC	$239.20	$385.56	$701.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $294.13 / $356.87 / $389.33	Professional		$294.13	$356.87	$389.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $46.25 / $48.08 / $53.54	Professional	26	$46.25	$48.08	$53.54
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $297.02 / $308.79 / $310.77	Professional	TC	$297.02	$308.79	$310.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $68.67 / $134.31	Professional		$66.81	$68.67	$134.31
United Facility/Professional Professional Modifier Low / Median / High Price $256.69 / $500.71 / $839.16	Professional		$256.69	$500.71	$839.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.60 / $72.25 / $115.41	Professional	26	$39.60	$72.25	$115.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.63 / $442.77 / $723.75	Professional	TC	$154.63	$442.77	$723.75