Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,183.00 / $4,450.00 / $8,031.00	Facility		$2,183.00	$4,450.00	$8,031.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $225.07 / $225.07 / $235.30	Facility	26	$225.07	$225.07	$235.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $616.50 / $1,421.47	Professional		$341.43	$616.50	$1,421.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.31 / $190.72 / $457.33	Professional	26	$127.31	$190.72	$457.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $391.44 / $486.20	Professional	TC	$214.11	$391.44	$486.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.61 / $724.83 / $877.94	Professional		$406.61	$724.83	$877.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.20 / $267.14 / $316.95	Professional	26	$127.20	$267.14	$316.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.58 / $474.05 / $552.20	Professional	TC	$278.58	$474.05	$552.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.93 / $526.22 / $1,140.02	Professional		$458.93	$526.22	$1,140.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $155.88 / $194.80 / $392.15	Professional	26	$155.88	$194.80	$392.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $297.30 / $331.65 / $747.87	Professional	TC	$297.30	$331.65	$747.87
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $465.21 / $600.23 / $600.23	Professional		$465.21	$600.23	$600.23
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $171.78 / $204.50 / $204.50	Professional	26	$171.78	$204.50	$204.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $293.44 / $395.73 / $395.73	Professional	TC	$293.44	$395.73	$395.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $713.33 / $1,552.50	Professional		$296.54	$713.33	$1,552.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $4,647.00 / $9,338.00	Facility		$1,849.00	$4,647.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.57 / $632.97 / $1,161.61	Professional		$378.57	$632.97	$1,161.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $131.44 / $209.43 / $401.80	Professional	26	$131.44	$209.43	$401.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $227.69 / $423.54 / $812.57	Professional	TC	$227.69	$423.54	$812.57