Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.01 / $186.01 / $193.12	Facility	26	$186.01	$186.01	$193.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $568.13 / $697.59	Professional		$312.81	$568.13	$697.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.43 / $186.01 / $377.52	Professional	26	$108.43	$186.01	$377.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $385.59 / $473.18	Professional	TC	$206.93	$385.59	$473.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $687.69 / $804.78	Professional		$385.78	$687.69	$804.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.73 / $219.29 / $260.18	Professional	26	$104.73	$219.29	$260.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.93 / $461.33 / $537.38	Professional	TC	$278.93	$461.33	$537.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.60 / $481.79 / $1,068.17	Professional		$433.60	$481.79	$1,068.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.24 / $164.13 / $324.83	Professional	26	$127.24	$164.13	$324.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.83 / $323.45 / $743.33	Professional	TC	$293.83	$323.45	$743.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $425.61 / $566.79 / $566.79	Professional		$425.61	$566.79	$566.79
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $141.96 / $167.20 / $167.20	Professional	26	$141.96	$167.20	$167.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $283.64 / $399.59 / $399.59	Professional	TC	$283.64	$399.59	$399.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $227.78 / $244.48 / $588.23	Professional		$227.78	$244.48	$588.23
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $642.63 / $1,098.09	Professional		$360.90	$642.63	$1,098.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.99 / $172.67 / $331.27	Professional	26	$108.99	$172.67	$331.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.92 / $421.70 / $809.05	Professional	TC	$237.92	$421.70	$809.05