Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.63 / $190.63 / $197.57	Facility	26	$190.63	$190.63	$197.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.17 / $565.16 / $873.37	Professional		$415.17	$565.16	$873.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $145.47 / $190.63 / $445.81	Professional	26	$145.47	$190.63	$445.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.69 / $374.54 / $611.17	Professional	TC	$269.69	$374.54	$611.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $692.42 / $808.26	Professional		$330.17	$692.42	$808.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.55 / $227.85 / $270.33	Professional	26	$104.55	$227.85	$270.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $238.43 / $455.35 / $530.41	Professional	TC	$238.43	$455.35	$530.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.38 / $486.66 / $1,050.14	Professional		$429.38	$486.66	$1,050.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.18 / $166.28 / $330.67	Professional	26	$131.18	$166.28	$330.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.11 / $321.64 / $723.98	Professional	TC	$292.11	$321.64	$723.98
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $429.90 / $569.92 / $569.92	Professional		$429.90	$569.92	$569.92
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $145.27 / $171.46 / $171.46	Professional	26	$145.27	$171.46	$171.46
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $284.63 / $398.45 / $398.45	Professional	TC	$284.63	$398.45	$398.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,458.75 / $1,458.75 / $1,458.75	Professional		$1,458.75	$1,458.75	$1,458.75
United Facility/Professional Professional Modifier Low / Median / High Price $356.57 / $634.76 / $1,077.42	Professional		$356.57	$634.76	$1,077.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $188.08 / $338.17	Professional	26	$111.16	$188.08	$338.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.09 / $410.83 / $788.19	Professional	TC	$226.09	$410.83	$788.19