Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $198.68 / $257.48	Facility	26	$166.95	$198.68	$257.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $600.00 / $1,930.85	Professional		$370.50	$600.00	$1,930.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.49 / $145.65 / $283.00	Professional	26	$58.49	$145.65	$283.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $415.86 / $636.44	Professional	TC	$259.35	$415.86	$636.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.19 / $733.16 / $1,023.34	Professional		$235.19	$733.16	$1,023.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.53 / $133.18 / $164.40	Professional	26	$57.53	$133.18	$164.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.66 / $625.01 / $872.39	Professional	TC	$177.66	$625.01	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $629.03 / $889.19	Professional		$317.14	$629.03	$889.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.34 / $79.23 / $150.22	Professional	26	$64.34	$79.23	$150.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.04 / $549.22 / $799.45	Professional	TC	$242.04	$549.22	$799.45
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $629.75 / $1,234.14	Professional		$282.95	$629.75	$1,234.14
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.02 / $63.84 / $117.04	Professional	26	$61.02	$63.84	$117.04
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $185.67 / $231.09 / $560.52	Professional	TC	$185.67	$231.09	$560.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $109.36 / $623.69	Professional		$81.81	$109.36	$623.69
United Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $441.33 / $869.26	Professional		$237.91	$441.33	$869.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.15 / $84.56 / $202.44	Professional	26	$52.15	$84.56	$202.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.96 / $338.35 / $693.69	Professional	TC	$185.96	$338.35	$693.69