Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $199.53 / $234.42	Facility	26	$63.10	$199.53	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $1,778.28	Professional		$229.09	$338.84	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $58.88 / $173.78	Professional	26	$38.90	$58.88	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $269.15 / $660.69	Professional	TC	$194.98	$269.15	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $812.83	Professional		$316.23	$588.84	$812.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $91.20 / $125.89	Professional	26	$48.98	$91.20	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $489.78 / $691.83	Professional	TC	$269.15	$489.78	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $776.25	Professional		$407.38	$501.19	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $109.65	Professional	26	$58.88	$72.44	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $436.52 / $660.69	Professional	TC	$346.74	$436.52	$660.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $457.09	Professional		$316.23	$436.52	$457.09
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $56.23	Professional	26	$45.71	$56.23	$56.23
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $295.12 / $331.13	Professional	TC	$269.15	$295.12	$331.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $138.04	Professional		$69.18	$70.79	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $812.83	Professional		$288.40	$457.09	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $120.23	Professional	26	$41.69	$72.44	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $398.11 / $691.83	Professional	TC	$245.47	$398.11	$691.83