Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $338.84 / $831.76	Facility		$125.89	$338.84	$831.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $69.18 / $69.18	Facility	26	$66.07	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $489.78	Professional		$57.54	$114.82	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $61.66 / $218.78	Professional	26	$33.11	$61.66	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $169.82	Professional	TC	$25.12	$38.90	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,888.44 / $8,128.31	Facility		$5,370.32	$5,888.44	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $489.78	Professional		$60.26	$134.90	$489.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $74.13 / $186.21	Professional	26	$34.67	$74.13	$186.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $57.54 / $302.00	Professional	TC	$26.30	$57.54	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $72.44	Facility		$50.12	$50.12	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $436.52	Professional		$77.62	$173.78	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $91.20 / $158.49	Professional	26	$42.66	$91.20	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $75.86 / $281.84	Professional	TC	$35.48	$75.86	$281.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $338.84	Professional		$67.61	$112.20	$338.84
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $61.66 / $123.03	Professional	26	$38.02	$61.66	$123.03
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $51.29 / $218.78	Professional	TC	$30.90	$51.29	$218.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $239.88	Professional		$51.29	$67.61	$239.88
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	26	$31.62	$31.62	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,467.37 / $6,606.93	Facility		$1,288.25	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $309.03	Professional		$61.66	$128.82	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $66.07 / $120.23	Professional	26	$34.67	$66.07	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $54.95 / $177.83	Professional	TC	$27.54	$54.95	$177.83