Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.44 / $241.44 / $358.42	Facility	26	$84.44	$241.44	$358.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $191.59 / $540.37	Professional		$119.92	$191.59	$540.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.97 / $84.44 / $195.03	Professional	26	$57.97	$84.44	$195.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.95 / $113.26 / $225.93	Professional	TC	$61.95	$113.26	$225.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $221.58 / $331.76	Professional		$105.03	$221.58	$331.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.49 / $91.75 / $121.01	Professional	26	$51.49	$91.75	$121.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.54 / $118.46 / $214.02	Professional	TC	$53.54	$118.46	$214.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.07 / $237.89 / $384.33	Professional		$140.07	$237.89	$384.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.63 / $91.10 / $176.53	Professional	26	$66.63	$91.10	$176.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.48 / $159.71 / $230.53	Professional	TC	$65.48	$159.71	$230.53
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $135.36 / $197.33 / $291.67	Professional		$135.36	$197.33	$291.67
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $66.83 / $85.17 / $110.34	Professional	26	$66.83	$85.17	$110.34
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $68.53 / $101.66 / $185.69	Professional	TC	$68.53	$101.66	$185.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $420.86 / $420.86 / $420.86	Professional		$420.86	$420.86	$420.86
United Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $225.70 / $380.73	Professional		$124.35	$225.70	$380.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.15 / $96.76 / $177.61	Professional	26	$63.15	$96.76	$177.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $110.23 / $193.95	Professional	TC	$61.71	$110.23	$193.95