Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.34 / $157.28 / $231.71	Facility	26	$55.34	$157.28	$231.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $298.47 / $479.91	Professional		$173.15	$298.47	$479.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.51 / $55.34 / $122.61	Professional	26	$21.51	$55.34	$122.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $243.13 / $382.41	Professional	TC	$151.80	$243.13	$382.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $281.82 / $366.19	Professional		$179.19	$281.82	$366.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.63 / $42.32 / $63.61	Professional	26	$30.63	$42.32	$63.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.46 / $244.85 / $303.32	Professional	TC	$146.46	$244.85	$303.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.37 / $351.78 / $621.49	Professional		$232.37	$351.78	$621.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.92 / $43.08 / $114.02	Professional	26	$30.92	$43.08	$114.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.50 / $304.54 / $526.25	Professional	TC	$177.50	$304.54	$526.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $231.11 / $330.39 / $394.53	Professional		$231.11	$330.39	$394.53
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.80 / $47.26 / $62.39	Professional	26	$27.80	$47.26	$62.39
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $188.34 / $279.69 / $322.58	Professional	TC	$188.34	$279.69	$322.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $53.00 / $77.66	Professional		$50.00	$53.00	$77.66
United Facility/Professional Professional Modifier Low / Median / High Price $208.51 / $322.92 / $588.24	Professional		$208.51	$322.92	$588.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.64 / $60.36 / $107.80	Professional	26	$34.64	$60.36	$107.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.26 / $271.49 / $497.60	Professional	TC	$169.26	$271.49	$497.60