Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $199.53 / $199.53	Facility	26	$190.55	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $912.01	Professional		$323.59	$407.38	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $263.03	Professional	26	$97.72	$128.82	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $288.40 / $478.63	Professional	TC	$229.09	$288.40	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $660.69 / $794.33	Professional		$288.40	$660.69	$794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $208.93 / $263.03	Professional	26	$100.00	$208.93	$263.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $436.52 / $524.81	Professional	TC	$190.55	$436.52	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,000.00	Professional		$389.05	$549.54	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $177.83 / $275.42	Professional	26	$120.23	$177.83	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $371.54 / $724.44	Professional	TC	$239.88	$371.54	$724.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $660.69	Professional		$501.19	$501.19	$660.69
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $208.93	Professional	26	$169.82	$169.82	$208.93
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $331.13 / $457.09	Professional	TC	$331.13	$331.13	$457.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Professional		$1,445.44	$1,445.44	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $1,047.13	Professional		$316.23	$467.74	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $141.25 / $309.03	Professional	26	$100.00	$141.25	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $331.13 / $724.44	Professional	TC	$218.78	$331.13	$724.44