Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $243.15 / $314.31	Facility	26	$166.95	$243.15	$314.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $600.00 / $1,990.56	Professional		$475.00	$600.00	$1,990.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.77 / $166.95 / $384.00	Professional	26	$96.77	$166.95	$384.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $657.55	Professional	TC	$335.00	$433.05	$657.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.42 / $889.15 / $1,054.93	Professional		$296.42	$889.15	$1,054.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.20 / $161.05 / $198.81	Professional	26	$69.20	$161.05	$198.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.74 / $735.29 / $872.39	Professional	TC	$219.74	$735.29	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $716.70 / $1,256.16	Professional		$469.82	$716.70	$1,256.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $96.40 / $181.75	Professional	26	$71.48	$96.40	$181.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $380.56 / $605.67 / $1,079.86	Professional	TC	$380.56	$605.67	$1,079.86
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $372.89 / $648.01 / $1,273.42	Professional		$372.89	$648.01	$1,273.42
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $78.34 / $143.33	Professional	26	$74.20	$78.34	$143.33
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $284.50 / $354.29 / $605.34	Professional	TC	$284.50	$354.29	$605.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $99.84 / $112.02	Professional		$99.84	$99.84	$112.02
United Facility/Professional Professional Modifier Low / Median / High Price $355.02 / $622.84 / $1,257.03	Professional		$355.02	$622.84	$1,257.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $103.48 / $235.41	Professional	26	$63.81	$103.48	$235.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.02 / $553.73 / $1,137.63	Professional	TC	$327.02	$553.73	$1,137.63