Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $190.55 / $223.87	Facility	26	$95.50	$190.55	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $758.58	Professional		$169.82	$269.15	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $44.67 / $112.20	Professional	26	$32.36	$44.67	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $181.97 / $489.78	Professional	TC	$141.25	$181.97	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $389.05	Professional		$169.82	$269.15	$389.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $47.86 / $70.79	Professional	26	$32.36	$47.86	$70.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $218.78 / $316.23	Professional	TC	$138.04	$218.78	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $616.60	Professional		$218.78	$346.74	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $51.29 / $114.82	Professional	26	$34.67	$51.29	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $275.42 / $524.81	Professional	TC	$169.82	$275.42	$524.81
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $457.09	Professional		$162.18	$295.12	$457.09
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $56.23 / $74.13	Professional	26	$35.48	$56.23	$74.13
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $371.54	Professional	TC	$181.97	$288.40	$371.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $371.54	Professional		$58.88	$79.43	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $524.81	Professional		$190.55	$288.40	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $97.72	Professional	26	$32.36	$48.98	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $245.47 / $436.52	Professional	TC	$151.36	$245.47	$436.52