Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.98 / $186.81 / $276.94	Facility	26	$64.98	$186.81	$276.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $317.08 / $574.45	Professional		$195.81	$317.08	$574.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.00 / $64.98 / $193.66	Professional	26	$44.00	$64.98	$193.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $253.75 / $475.74	Professional	TC	$151.80	$253.75	$475.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.46 / $478.58 / $681.09	Professional		$239.46	$478.58	$681.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.71 / $70.45 / $90.92	Professional	26	$39.71	$70.45	$90.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.50 / $402.75 / $592.62	Professional	TC	$201.50	$402.75	$592.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $481.49 / $861.60	Professional		$290.77	$481.49	$861.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.95 / $72.06 / $135.33	Professional	26	$51.95	$72.06	$135.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.13 / $370.79 / $747.89	Professional	TC	$219.13	$370.79	$747.89
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $300.72 / $429.89 / $511.72	Professional		$300.72	$429.89	$511.72
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $51.04 / $65.03 / $84.77	Professional	26	$51.04	$65.03	$84.77
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $249.67 / $356.91 / $426.93	Professional	TC	$249.67	$356.91	$426.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $73.06 / $73.06	Professional		$68.77	$73.06	$73.06
United Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $425.66 / $818.91	Professional		$277.89	$425.66	$818.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.41 / $75.73 / $145.12	Professional	26	$46.41	$75.73	$145.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.17 / $369.82 / $682.77	Professional	TC	$229.17	$369.82	$682.77