Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.71 / $172.12 / $234.38	Facility	26	$55.71	$172.12	$234.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $396.02 / $1,058.65	Professional		$282.66	$396.02	$1,058.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $55.71 / $166.75	Professional	26	$38.40	$55.71	$166.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.25 / $340.30 / $858.79	Professional	TC	$244.25	$340.30	$858.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.01 / $523.76 / $599.74	Professional		$327.01	$523.76	$599.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.88 / $74.19 / $86.58	Professional	26	$47.88	$74.19	$86.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $279.13 / $452.17 / $513.15	Professional	TC	$279.13	$452.17	$513.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.54 / $533.33 / $819.12	Professional		$396.54	$533.33	$819.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.46 / $72.31 / $115.39	Professional	26	$62.46	$72.31	$115.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $328.49 / $442.40 / $714.69	Professional	TC	$328.49	$442.40	$714.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $349.13 / $386.56 / $439.71	Professional		$349.13	$386.56	$439.71
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $48.70 / $50.63 / $56.14	Professional	26	$48.70	$50.63	$56.14
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $300.43 / $312.33 / $341.02	Professional	TC	$300.43	$312.33	$341.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $79.52 / $148.50	Professional		$70.12	$79.52	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $561.85 / $1,025.35	Professional		$310.30	$561.85	$1,025.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.00 / $76.47 / $136.72	Professional	26	$43.00	$76.47	$136.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.28 / $486.57 / $888.63	Professional	TC	$212.28	$486.57	$888.63