Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $331.13 / $416.87	Facility	26	$173.78	$331.13	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $933.25	Professional		$177.83	$251.19	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $102.33 / $346.74	Professional	26	$64.57	$102.33	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $147.91 / $380.19	Professional	TC	$109.65	$147.91	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $616.60	Professional		$181.97	$436.52	$616.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $151.36 / $213.80	Professional	26	$63.10	$151.36	$213.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $281.84 / $398.11	Professional	TC	$117.49	$281.84	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $616.60	Professional		$194.98	$302.00	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $107.15 / $223.87	Professional	26	$77.62	$107.15	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $194.98 / $407.38	Professional	TC	$95.50	$194.98	$407.38
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $371.54	Professional		$144.54	$288.40	$371.54
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $109.65 / $131.83	Professional	26	$79.43	$109.65	$131.83
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $239.88	Professional	TC	$138.04	$204.17	$239.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $165.96	Professional		$158.49	$158.49	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $562.34	Professional		$181.97	$245.47	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $93.33 / $204.17	Professional	26	$69.18	$93.33	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $162.18 / $371.54	Professional	TC	$109.65	$162.18	$371.54