Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $224.84 / $332.41	Facility	26	$80.00	$224.84	$332.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $401.91 / $1,268.00	Professional		$246.93	$401.91	$1,268.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.95 / $104.72 / $361.65	Professional	26	$53.95	$104.72	$361.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.63 / $306.22 / $510.40	Professional	TC	$151.63	$306.22	$510.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.99 / $388.19 / $494.96	Professional		$238.99	$388.19	$494.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.25 / $102.46 / $169.78	Professional	26	$47.25	$102.46	$169.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.52 / $255.12 / $354.16	Professional	TC	$190.52	$255.12	$354.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.54 / $532.04 / $845.41	Professional		$323.54	$532.04	$845.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.55 / $120.68 / $173.02	Professional	26	$65.55	$120.68	$173.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.72 / $407.24 / $702.45	Professional	TC	$236.72	$407.24	$702.45
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $451.28 / $614.25	Professional		$305.57	$451.28	$614.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.74 / $89.49 / $141.61	Professional	26	$61.74	$89.49	$141.61
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $243.83 / $361.79 / $424.50	Professional	TC	$243.83	$361.79	$424.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $166.50 / $564.63	Professional		$87.04	$166.50	$564.63
United Facility/Professional Professional Modifier Low / Median / High Price $279.82 / $439.36 / $811.67	Professional		$279.82	$439.36	$811.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.83 / $96.96 / $172.39	Professional	26	$58.83	$96.96	$172.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.75 / $348.49 / $665.35	Professional	TC	$223.75	$348.49	$665.35