Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.03 / $265.97 / $606.98	Facility	26	$149.03	$265.97	$606.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $230.17 / $722.00	Professional		$165.50	$230.17	$722.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.61 / $120.29 / $428.85	Professional	26	$93.61	$120.29	$428.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.20 / $88.59 / $166.01	Professional	TC	$68.20	$88.59	$166.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $229.01 / $341.84	Professional		$152.55	$229.01	$341.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.89 / $132.60 / $193.68	Professional	26	$82.89	$132.60	$193.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.62 / $96.41 / $152.71	Professional	TC	$65.62	$96.41	$152.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $290.93 / $557.14	Professional		$224.09	$290.93	$557.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.06 / $163.51 / $310.80	Professional	26	$130.06	$163.51	$310.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.97 / $130.55 / $247.05	Professional	TC	$96.97	$130.55	$247.05
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $237.36 / $351.65	Professional		$200.43	$237.36	$351.65
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $117.73 / $137.63 / $211.92	Professional	26	$117.73	$137.63	$211.92
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $82.70 / $103.34 / $139.72	Professional	TC	$82.70	$103.34	$139.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $297.94 / $1,089.00	Professional		$161.91	$297.94	$1,089.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $287.85 / $548.03	Professional		$188.84	$287.85	$548.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.83 / $167.03 / $314.20	Professional	26	$105.83	$167.03	$314.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.45 / $138.41 / $251.14	Professional	TC	$84.45	$138.41	$251.14