Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $354.04 / $462.73	Facility	26	$166.95	$354.04	$462.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $611.94 / $3,280.00	Professional		$475.00	$611.94	$3,280.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $527.69	Professional	26	$111.15	$166.95	$527.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.89 / $433.05 / $3,063.99	Professional	TC	$304.89	$433.05	$3,063.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.99 / $1,178.97 / $1,645.60	Professional		$368.99	$1,178.97	$1,645.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.09 / $236.94 / $292.50	Professional	26	$103.09	$236.94	$292.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.91 / $963.76 / $1,377.04	Professional	TC	$265.91	$963.76	$1,377.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.45 / $1,183.97 / $1,829.92	Professional		$496.45	$1,183.97	$1,829.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.72 / $141.47 / $266.89	Professional	26	$95.72	$141.47	$266.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.96 / $962.45 / $1,654.09	Professional	TC	$342.96	$962.45	$1,654.09
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $435.87 / $956.65 / $1,643.39	Professional		$435.87	$956.65	$1,643.39
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $109.23 / $115.74 / $211.24	Professional	26	$109.23	$115.74	$211.24
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $276.51 / $344.34 / $717.62	Professional	TC	$276.51	$344.34	$717.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $195.00 / $314.45	Professional		$146.59	$195.00	$314.45
United Facility/Professional Professional Modifier Low / Median / High Price $390.29 / $706.08 / $1,461.66	Professional		$390.29	$706.08	$1,461.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.23 / $159.06 / $344.54	Professional	26	$96.23	$159.06	$344.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.82 / $495.93 / $993.55	Professional	TC	$254.82	$495.93	$993.55