Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.02 / $174.80 / $234.63	Facility	26	$57.02	$174.80	$234.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.93 / $388.14 / $1,795.00	Professional		$277.93	$388.14	$1,795.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $59.39 / $175.45	Professional	26	$43.47	$59.39	$175.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.86 / $331.11 / $725.27	Professional	TC	$238.86	$331.11	$725.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $562.82 / $724.45	Professional		$302.43	$562.82	$724.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $87.45 / $113.63	Professional	26	$46.29	$87.45	$113.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $475.36 / $611.87	Professional	TC	$256.14	$475.36	$611.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.41 / $487.68 / $774.80	Professional		$410.41	$487.68	$774.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.74 / $71.48 / $110.53	Professional	26	$61.74	$71.48	$110.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $348.71 / $417.68 / $664.27	Professional	TC	$348.71	$417.68	$664.27
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $317.87 / $348.03 / $460.13	Professional		$317.87	$348.03	$460.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $47.52 / $55.79	Professional	26	$45.71	$47.52	$55.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $272.14 / $282.93 / $292.23	Professional	TC	$272.14	$282.93	$292.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $77.34 / $137.08	Professional		$69.65	$77.34	$137.08
United Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $506.47 / $892.43	Professional		$289.30	$506.47	$892.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.52 / $75.28 / $135.88	Professional	26	$41.52	$75.28	$135.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.78 / $437.48 / $756.55	Professional	TC	$247.78	$437.48	$756.55