Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $218.41 / $495.05	Professional		$125.58	$218.41	$495.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.82 / $62.16	Professional	26	$25.70	$38.82	$62.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.88 / $190.88 / $397.37	Professional	TC	$99.88	$190.88	$397.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $337.41 / $553.70	Professional		$177.35	$337.41	$553.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.06 / $51.49 / $82.11	Professional	26	$39.06	$51.49	$82.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.29 / $291.67 / $483.69	Professional	TC	$138.29	$291.67	$483.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.38 / $259.22 / $702.16	Professional		$124.38	$259.22	$702.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.46 / $45.27 / $87.36	Professional	26	$22.46	$45.27	$87.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.83 / $205.22 / $614.79	Professional	TC	$98.83	$205.22	$614.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $412.53 / $740.80	Professional		$203.45	$412.53	$740.80
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $29.08 / $57.73 / $75.69	Professional	26	$29.08	$57.73	$75.69
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $174.37 / $354.81 / $457.35	Professional	TC	$174.37	$354.81	$457.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $101.06 / $181.48	Professional		$96.25	$101.06	$181.48
United Facility/Professional Professional Modifier Low / Median / High Price $218.84 / $517.54 / $922.83	Professional		$218.84	$517.54	$922.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.43 / $72.65 / $121.19	Professional	26	$45.43	$72.65	$121.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.10 / $452.19 / $801.64	Professional	TC	$168.10	$452.19	$801.64