Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $299.24 / $389.10	Facility	26	$166.95	$299.24	$389.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $600.00 / $3,469.44	Professional		$475.00	$600.00	$3,469.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $303.93	Professional	26	$111.15	$166.95	$303.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $1,171.41	Professional	TC	$335.00	$433.05	$1,171.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.24 / $1,170.14 / $1,602.59	Professional		$377.24	$1,170.14	$1,602.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.30 / $199.00 / $247.02	Professional	26	$86.30	$199.00	$247.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $290.94 / $986.56 / $1,377.04	Professional	TC	$290.94	$986.56	$1,377.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.51 / $1,145.32 / $1,629.20	Professional		$509.51	$1,145.32	$1,629.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.50 / $118.59 / $224.83	Professional	26	$96.50	$118.59	$224.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $396.41 / $1,040.83 / $1,480.56	Professional	TC	$396.41	$1,040.83	$1,480.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $453.98 / $1,125.53 / $1,932.97	Professional		$453.98	$1,125.53	$1,932.97
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $91.55 / $96.18 / $176.15	Professional	26	$91.55	$96.18	$176.15
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $303.93 / $378.40 / $882.10	Professional	TC	$303.93	$378.40	$882.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $173.68 / $992.35	Professional		$123.80	$173.68	$992.35
United Facility/Professional Professional Modifier Low / Median / High Price $378.54 / $712.62 / $1,335.84	Professional		$378.54	$712.62	$1,335.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.15 / $126.50 / $303.64	Professional	26	$81.15	$126.50	$303.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.51 / $547.63 / $1,029.63	Professional	TC	$262.51	$547.63	$1,029.63