Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.83 / $366.92 / $764.81	Professional		$193.83	$366.92	$764.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.17 / $118.23 / $334.75	Professional	26	$79.17	$118.23	$334.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.66 / $244.40 / $391.60	Professional	TC	$114.66	$244.40	$391.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.03 / $538.91 / $736.56	Professional		$347.03	$538.91	$736.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $157.75 / $210.61 / $298.33	Professional	26	$157.75	$210.61	$298.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.01 / $347.52 / $506.13	Professional	TC	$285.01	$347.52	$506.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $302.33 / $877.66	Professional		$144.78	$302.33	$877.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $146.74 / $295.32	Professional	26	$67.70	$146.74	$295.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.06 / $219.90 / $586.74	Professional	TC	$77.06	$219.90	$586.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $437.99 / $827.81	Professional		$133.80	$437.99	$827.81
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $121.45 / $241.75 / $337.95	Professional	26	$121.45	$241.75	$337.95
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $217.01 / $441.79 / $608.48	Professional	TC	$217.01	$441.79	$608.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $301.77 / $696.26	Professional		$121.66	$301.77	$696.26
United Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $674.52 / $1,350.20	Professional		$256.00	$674.52	$1,350.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.28 / $247.45 / $419.50	Professional	26	$95.28	$247.45	$419.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.18 / $461.58 / $907.41	Professional	TC	$178.18	$461.58	$907.41