Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.21 / $146.55 / $226.70	Facility	26	$53.21	$146.55	$226.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.44 / $382.75 / $903.20	Professional		$268.44	$382.75	$903.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $48.87 / $125.35	Professional	26	$35.67	$48.87	$125.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.15 / $322.54 / $479.07	Professional	TC	$231.15	$322.54	$479.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $398.45 / $526.28	Professional		$248.20	$398.45	$526.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $58.05 / $77.34	Professional	26	$36.11	$58.05	$77.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $211.12 / $340.70 / $452.16	Professional	TC	$211.12	$340.70	$452.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.97 / $427.25 / $793.47	Professional		$309.97	$427.25	$793.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.57 / $57.01 / $112.92	Professional	26	$42.57	$57.01	$112.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $264.13 / $370.24 / $682.50	Professional	TC	$264.13	$370.24	$682.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $414.14 / $564.75	Professional		$289.70	$414.14	$564.75
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $62.21 / $82.50	Professional	26	$43.52	$62.21	$82.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $246.19 / $351.94 / $482.25	Professional	TC	$246.19	$351.94	$482.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $59.64 / $59.64	Professional		$57.48	$59.64	$59.64
United Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $419.79 / $792.86	Professional		$271.75	$419.79	$792.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.53 / $60.64 / $118.77	Professional	26	$37.53	$60.64	$118.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.05 / $361.43 / $639.73	Professional	TC	$232.05	$361.43	$639.73