Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $281.84 / $331.13	Facility	26	$186.21	$281.84	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,949.84	Professional		$295.12	$524.81	$1,949.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $323.59	Professional	26	$70.79	$125.89	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $645.65	Professional	TC	$218.78	$338.84	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $776.25 / $1,023.29	Professional		$281.84	$776.25	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $141.25 / $186.21	Professional	26	$67.61	$141.25	$186.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $616.60 / $851.14	Professional	TC	$213.80	$616.60	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,202.26	Professional		$416.87	$707.95	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $204.17	Professional	26	$69.18	$102.33	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $588.84 / $977.24	Professional	TC	$331.13	$588.84	$977.24
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,202.26	Professional		$426.58	$660.69	$1,202.26
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $107.15	Professional	26	$74.13	$91.20	$107.15
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $380.19 / $616.60	Professional	TC	$295.12	$380.19	$616.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $123.03	Professional		$100.00	$112.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,122.02	Professional		$346.74	$562.34	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $204.17	Professional	26	$60.26	$85.11	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $446.68 / $977.24	Professional	TC	$281.84	$446.68	$977.24