Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.29 / $290.60 / $368.84	Facility	26	$87.29	$290.60	$368.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $362.37 / $1,290.00	Professional		$215.53	$362.37	$1,290.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.52 / $95.60 / $334.43	Professional	26	$62.52	$95.60	$334.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.75 / $247.34 / $496.63	Professional	TC	$152.75	$247.34	$496.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.99 / $546.91 / $679.04	Professional		$225.99	$546.91	$679.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $147.63 / $206.08	Professional	26	$61.52	$147.63	$206.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $387.84 / $499.28	Professional	TC	$168.49	$387.84	$499.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.48 / $347.25 / $743.84	Professional		$270.48	$347.25	$743.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.92 / $98.00 / $194.12	Professional	26	$71.92	$98.00	$194.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.67 / $243.95 / $549.72	Professional	TC	$192.67	$243.95	$549.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $251.46 / $328.33 / $426.08	Professional		$251.46	$328.33	$426.08
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $68.29 / $96.18 / $112.64	Professional	26	$68.29	$96.18	$112.64
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $183.16 / $241.33 / $302.25	Professional	TC	$183.16	$241.33	$302.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $121.01 / $353.54	Professional		$94.32	$121.01	$353.54
United Facility/Professional Professional Modifier Low / Median / High Price $234.28 / $346.99 / $755.36	Professional		$234.28	$346.99	$755.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.19 / $92.79 / $213.41	Professional	26	$64.19	$92.79	$213.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.48 / $255.37 / $556.29	Professional	TC	$166.48	$255.37	$556.29