Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $524.81	Professional		$158.49	$257.04	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $57.54 / $436.52	Professional	26	$26.92	$57.54	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $218.78 / $446.68	Professional	TC	$123.03	$218.78	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $741.31	Professional		$186.21	$346.74	$741.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $53.70 / $114.82	Professional	26	$40.74	$53.70	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $181.97 / $691.83	Professional	TC	$144.54	$181.97	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $630.96	Professional		$123.03	$257.04	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $41.69 / $81.28	Professional	26	$22.91	$41.69	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $204.17 / $562.34	Professional	TC	$97.72	$204.17	$562.34
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $758.58	Professional		$288.40	$416.87	$758.58
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $75.86	Professional	26	$41.69	$57.54	$75.86
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $354.81 / $457.09	Professional	TC	$245.47	$354.81	$457.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $1,071.52	Professional		$213.80	$467.74	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $63.10 / $134.90	Professional	26	$26.92	$63.10	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $426.58 / $933.25	Professional	TC	$177.83	$426.58	$933.25