Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $133.76 / $357.59	Professional		$74.36	$133.76	$357.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $32.94 / $47.49	Professional	26	$15.33	$32.94	$47.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.03 / $99.72 / $268.91	Professional	TC	$59.03	$99.72	$268.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.07 / $244.68 / $345.61	Professional		$161.07	$244.68	$345.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.48 / $39.02 / $86.76	Professional	26	$25.48	$39.02	$86.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.32 / $177.58 / $297.27	Professional	TC	$126.32	$177.58	$297.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $153.37 / $369.67	Professional		$92.57	$153.37	$369.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $31.21 / $60.52	Professional	26	$13.76	$31.21	$60.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.33 / $134.22 / $324.52	Professional	TC	$70.33	$134.22	$324.52
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $295.58 / $380.47	Professional		$145.46	$295.58	$380.47
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $23.12 / $42.54	Professional	26	$16.35	$23.12	$42.54
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $129.12 / $200.16 / $339.39	Professional	TC	$129.12	$200.16	$339.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $216.45 / $216.45	Professional		$216.45	$216.45	$216.45
United Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $271.72 / $615.02	Professional		$120.92	$271.72	$615.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $41.57 / $67.31	Professional	26	$25.98	$41.57	$67.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.09 / $235.49 / $547.70	Professional	TC	$96.09	$235.49	$547.70