Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $259.94 / $467.67 / $1,061.36	Facility	26	$259.94	$467.67	$1,061.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $365.63 / $1,105.26	Professional		$259.14	$365.63	$1,105.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.72 / $196.59 / $585.27	Professional	26	$161.72	$196.59	$585.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.51 / $123.79 / $225.91	Professional	TC	$94.51	$123.79	$225.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.01 / $371.72 / $561.74	Professional		$233.01	$371.72	$561.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $145.53 / $233.76 / $342.48	Professional	26	$145.53	$233.76	$342.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.48 / $137.94 / $219.26	Professional	TC	$87.48	$137.94	$219.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.80 / $480.39 / $886.53	Professional		$365.80	$480.39	$886.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $230.27 / $290.89 / $544.11	Professional	26	$230.27	$290.89	$544.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.11 / $189.51 / $340.75	Professional	TC	$137.11	$189.51	$340.75
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $327.89 / $388.33 / $576.35	Professional		$327.89	$388.33	$576.35
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $208.92 / $244.74 / $375.50	Professional	26	$208.92	$244.74	$375.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $118.97 / $151.90 / $200.86	Professional	TC	$118.97	$151.90	$200.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $382.74 / $1,815.00	Professional		$285.58	$382.74	$1,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.37 / $518.54 / $962.83	Professional		$310.37	$518.54	$962.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $194.38 / $296.83 / $549.41	Professional	26	$194.38	$296.83	$549.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.85 / $189.86 / $344.50	Professional	TC	$115.85	$189.86	$344.50