Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $379.87 / $494.91	Facility	26	$166.95	$379.87	$494.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $600.00 / $2,713.00	Professional		$370.50	$600.00	$2,713.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.43 / $166.95 / $582.97	Professional	26	$110.43	$166.95	$582.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $185.25 / $300.00 / $617.80	Professional	52	$185.25	$300.00	$617.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.98 / $433.05 / $1,723.78	Professional	TC	$269.98	$433.05	$1,723.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.20 / $1,199.09 / $1,673.69	Professional		$346.20	$1,199.09	$1,673.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.96 / $257.80 / $320.08	Professional	26	$109.96	$257.80	$320.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $236.25 / $914.47 / $1,377.04	Professional	TC	$236.25	$914.47	$1,377.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.61 / $1,195.85 / $1,873.26	Professional		$465.61	$1,195.85	$1,873.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.96 / $154.38 / $285.42	Professional	26	$122.96	$154.38	$285.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.02 / $896.64 / $1,670.76	Professional	TC	$321.02	$896.64	$1,670.76
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $394.11 / $948.76 / $1,629.68	Professional		$394.11	$948.76	$1,629.68
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $119.16 / $123.37 / $225.10	Professional	26	$119.16	$123.37	$225.10
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $246.10 / $306.43 / $699.39	Professional	TC	$246.10	$306.43	$699.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $227.06 / $336.71	Professional		$156.33	$227.06	$336.71
United Facility/Professional Professional Modifier Low / Median / High Price $364.94 / $660.95 / $1,374.33	Professional		$364.94	$660.95	$1,374.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.07 / $164.21 / $346.60	Professional	26	$103.07	$164.21	$346.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.35 / $452.87 / $879.51	Professional	TC	$253.35	$452.87	$879.51