Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.97 / $222.56 / $299.04	Facility	26	$71.97	$222.56	$299.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.89 / $392.29 / $1,057.00	Professional		$281.89	$392.29	$1,057.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.58 / $71.97 / $223.01	Professional	26	$49.58	$71.97	$223.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.32 / $320.32 / $609.79	Professional	TC	$232.32	$320.32	$609.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.06 / $485.53 / $566.61	Professional		$325.06	$485.53	$566.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.20 / $90.55 / $102.63	Professional	26	$62.20	$90.55	$102.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.83 / $397.58 / $463.97	Professional	TC	$262.83	$397.58	$463.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.79 / $485.91 / $720.69	Professional		$396.79	$485.91	$720.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.50 / $92.18 / $138.53	Professional	26	$77.50	$92.18	$138.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.81 / $401.25 / $644.36	Professional	TC	$309.81	$401.25	$644.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $296.00 / $358.78	Professional		$282.02	$296.00	$358.78
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $60.83 / $63.23 / $71.67	Professional	26	$60.83	$63.23	$71.67
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $276.92 / $287.11 / $287.89	Professional	TC	$276.92	$287.11	$287.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $199.32 / $199.32 / $199.32	Professional		$199.32	$199.32	$199.32
United Facility/Professional Professional Modifier Low / Median / High Price $344.30 / $528.54 / $970.21	Professional		$344.30	$528.54	$970.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.89 / $97.56 / $186.50	Professional	26	$64.89	$97.56	$186.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.41 / $420.08 / $734.18	Professional	TC	$279.41	$420.08	$734.18