Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.17 / $155.94 / $229.09	Facility	26	$55.17	$155.94	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $247.87 / $945.01	Professional		$161.85	$247.87	$945.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.03 / $57.14 / $188.00	Professional	26	$38.03	$57.14	$188.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.20 / $169.58 / $372.03	Professional	TC	$117.20	$169.58	$372.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.87 / $283.86 / $403.97	Professional		$129.87	$283.86	$403.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $74.33 / $113.19	Professional	26	$32.63	$74.33	$113.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.23 / $209.13 / $290.77	Professional	TC	$97.23	$209.13	$290.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $314.97 / $496.77	Professional		$191.03	$314.97	$496.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.30 / $81.72 / $118.19	Professional	26	$45.30	$81.72	$118.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.54 / $231.17 / $402.20	Professional	TC	$135.54	$231.17	$402.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $253.94 / $360.96	Professional		$172.25	$253.94	$360.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $61.35 / $94.57	Professional	26	$42.60	$61.35	$94.57
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $129.65 / $192.59 / $249.75	Professional	TC	$129.65	$192.59	$249.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $107.15 / $337.89	Professional		$58.93	$107.15	$337.89
United Facility/Professional Professional Modifier Low / Median / High Price $165.52 / $266.67 / $491.41	Professional		$165.52	$266.67	$491.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $65.83 / $119.05	Professional	26	$40.78	$65.83	$119.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.68 / $198.40 / $376.70	Professional	TC	$126.68	$198.40	$376.70