Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $185.88 / $330.18 / $750.53	Facility	26	$185.88	$330.18	$750.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $277.01 / $834.82	Professional		$198.40	$277.01	$834.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.15 / $138.21 / $414.40	Professional	26	$115.15	$138.21	$414.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.31 / $102.67 / $192.59	Professional	TC	$78.31	$102.67	$192.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $275.87 / $413.88	Professional		$181.98	$275.87	$413.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.41 / $165.63 / $241.93	Professional	26	$103.41	$165.63	$241.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.04 / $110.24 / $173.14	Professional	TC	$75.04	$110.24	$173.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.50 / $353.41 / $668.79	Professional		$270.50	$353.41	$668.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.31 / $204.51 / $384.29	Professional	26	$162.31	$204.51	$384.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.61 / $150.41 / $283.11	Professional	TC	$110.61	$150.41	$283.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $240.47 / $284.80 / $422.26	Professional		$240.47	$284.80	$422.26
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $147.15 / $172.28 / $264.54	Professional	26	$147.15	$172.28	$264.54
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $93.32 / $119.95 / $157.72	Professional	TC	$93.32	$119.95	$157.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $362.08 / $458.05	Professional		$207.40	$362.08	$458.05
United Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $354.13 / $664.02	Professional		$233.93	$354.13	$664.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $130.86 / $218.10 / $411.23	Professional	26	$130.86	$218.10	$411.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.72 / $150.63 / $273.70	Professional	TC	$96.72	$150.63	$273.70