Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $219.71 / $394.99 / $893.97	Facility	26	$219.71	$394.99	$893.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.29 / $326.14 / $931.81	Professional		$224.29	$326.14	$931.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $136.62 / $165.65 / $493.56	Professional	26	$136.62	$165.65	$493.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.48 / $110.64 / $202.37	Professional	TC	$85.48	$110.64	$202.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.29 / $322.33 / $484.65	Professional		$218.29	$322.33	$484.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $130.82 / $197.77 / $288.89	Professional	26	$130.82	$197.77	$288.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.79 / $124.56 / $195.88	Professional	TC	$84.79	$124.56	$195.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.92 / $415.31 / $764.52	Professional		$315.92	$415.31	$764.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $194.10 / $245.56 / $459.11	Professional	26	$194.10	$245.56	$459.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.81 / $169.75 / $306.77	Professional	TC	$121.81	$169.75	$306.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $280.17 / $332.02 / $492.07	Professional		$280.17	$332.02	$492.07
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $176.15 / $206.45 / $316.52	Professional	26	$176.15	$206.45	$316.52
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $104.01 / $135.72 / $175.55	Professional	TC	$104.01	$135.72	$175.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $241.56 / $327.08 / $1,633.50	Professional		$241.56	$327.08	$1,633.50
United Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $425.96 / $769.97	Professional		$268.14	$425.96	$769.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $155.87 / $252.66 / $462.76	Professional	26	$155.87	$252.66	$462.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.05 / $161.78 / $309.27	Professional	TC	$96.05	$161.78	$309.27