Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $259.63 / $584.84	Professional		$130.13	$259.63	$584.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.21 / $56.35 / $150.03	Professional	26	$37.21	$56.35	$150.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.94 / $194.31 / $459.33	Professional	TC	$92.94	$194.31	$459.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $463.45 / $676.96	Professional		$185.41	$463.45	$676.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.74 / $74.79 / $118.92	Professional	26	$56.74	$74.79	$118.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.68 / $394.08 / $575.64	Professional	TC	$128.68	$394.08	$575.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $279.01 / $830.85	Professional		$128.97	$279.01	$830.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.69 / $65.59 / $126.71	Professional	26	$32.69	$65.59	$126.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.95 / $232.70 / $701.19	Professional	TC	$91.95	$232.70	$701.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $289.49 / $586.85 / $874.12	Professional		$289.49	$586.85	$874.12
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $44.97 / $89.25 / $117.05	Professional	26	$44.97	$89.25	$117.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $244.52 / $497.58 / $641.41	Professional	TC	$244.52	$497.58	$641.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $254.34	Professional		$150.00	$150.00	$254.34
United Facility/Professional Professional Modifier Low / Median / High Price $230.65 / $597.99 / $1,204.33	Professional		$230.65	$597.99	$1,204.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $101.24 / $180.72	Professional	26	$41.88	$101.24	$180.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.59 / $520.69 / $1,023.61	Professional	TC	$191.59	$520.69	$1,023.61