Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $323.59 / $389.05	Facility	26	$141.25	$323.59	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $1,202.26	Professional		$229.09	$426.58	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $87.10 / $275.42	Professional	26	$72.44	$87.10	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $229.09 / $562.34	Professional	TC	$158.49	$229.09	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $724.44 / $1,071.52	Professional		$275.42	$724.44	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $169.82 / $218.78	Professional	26	$85.11	$169.82	$218.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $524.81 / $851.14	Professional	TC	$190.55	$524.81	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $645.65 / $1,000.00	Professional		$331.13	$645.65	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $120.23 / $218.78	Professional	26	$83.18	$120.23	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $501.19 / $831.76	Professional	TC	$239.88	$501.19	$831.76
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $891.25	Professional		$371.54	$676.08	$891.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $109.65 / $131.83	Professional	26	$89.13	$109.65	$131.83
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $281.84 / $588.84	Professional	TC	$213.80	$281.84	$588.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $436.52	Professional		$114.82	$154.88	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $776.25	Professional		$257.04	$436.52	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $100.00 / $208.93	Professional	26	$72.44	$100.00	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $309.03 / $588.84	Professional	TC	$181.97	$309.03	$588.84