Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $257.04 / $302.00	Facility	26	$186.21	$257.04	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $478.63 / $1,445.44	Professional		$234.42	$478.63	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $125.89 / $295.12	Professional	26	$66.07	$125.89	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $309.03 / $602.56	Professional	TC	$169.82	$309.03	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $645.65 / $1,000.00	Professional		$245.47	$645.65	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $131.83 / $169.82	Professional	26	$63.10	$131.83	$169.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $489.78 / $851.14	Professional	TC	$181.97	$489.78	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $891.25	Professional		$281.84	$616.60	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $93.33 / $190.55	Professional	26	$63.10	$93.33	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $512.86 / $707.95	Professional	TC	$229.09	$512.86	$707.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $741.31	Professional		$323.59	$616.60	$741.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $83.18 / $100.00	Professional	26	$69.18	$83.18	$100.00
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $257.04 / $588.84	Professional	TC	$194.98	$257.04	$588.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $131.83	Professional		$91.20	$100.00	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $831.76	Professional		$223.87	$407.38	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $77.62 / $186.21	Professional	26	$56.23	$77.62	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $295.12 / $676.08	Professional	TC	$165.96	$295.12	$676.08