Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.29 / $155.90 / $228.42	Facility	26	$55.29	$155.90	$228.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $290.23 / $1,194.00	Professional		$179.96	$290.23	$1,194.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $41.82 / $140.00	Professional	26	$28.30	$41.82	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $234.94 / $507.80	Professional	TC	$151.80	$234.94	$507.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $292.77 / $364.88	Professional		$171.87	$292.77	$364.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $49.01 / $63.55	Professional	26	$33.27	$49.01	$63.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.16 / $245.08 / $298.83	Professional	TC	$139.16	$245.08	$298.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.70 / $354.85 / $598.94	Professional		$232.70	$354.85	$598.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.96 / $49.73 / $113.96	Professional	26	$38.96	$49.73	$113.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.13 / $295.58 / $509.63	Professional	TC	$176.13	$295.58	$509.63
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $201.70 / $314.47 / $494.60	Professional		$201.70	$314.47	$494.60
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $35.84 / $47.20 / $63.75	Professional	26	$35.84	$47.20	$63.75
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $177.27 / $263.04 / $374.57	Professional	TC	$177.27	$263.04	$374.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $107.13 / $363.72	Professional		$55.91	$107.13	$363.72
United Facility/Professional Professional Modifier Low / Median / High Price $201.66 / $313.58 / $598.71	Professional		$201.66	$313.58	$598.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.79 / $114.68	Professional	26	$34.67	$56.79	$114.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.77 / $262.98 / $484.03	Professional	TC	$162.77	$262.98	$484.03