Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $398.11 / $501.19	Facility	26	$204.17	$398.11	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $1,122.02	Professional		$229.09	$323.59	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $380.19	Professional	26	$77.62	$112.20	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $181.97 / $489.78	Professional	TC	$144.54	$181.97	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $549.54 / $776.25	Professional		$245.47	$549.54	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $194.98 / $275.42	Professional	26	$81.28	$194.98	$275.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $346.74 / $501.19	Professional	TC	$158.49	$346.74	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $776.25	Professional		$263.03	$407.38	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $134.90 / $269.15	Professional	26	$91.20	$134.90	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $257.04 / $512.86	Professional	TC	$177.83	$257.04	$512.86
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $467.74	Professional		$275.42	$380.19	$467.74
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $131.83 / $158.49	Professional	26	$95.50	$131.83	$158.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $316.23	Professional	TC	$181.97	$245.47	$316.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $912.01	Professional		$181.97	$181.97	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $691.83	Professional		$223.87	$323.59	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $245.47	Professional	26	$83.18	$112.20	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $208.93 / $446.68	Professional	TC	$144.54	$208.93	$446.68