Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $296.69 / $387.39	Facility	26	$166.95	$296.69	$387.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.10 / $600.00 / $2,481.26	Professional		$427.10	$600.00	$2,481.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $389.19	Professional	26	$111.15	$166.95	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $972.99	Professional	TC	$335.00	$433.05	$972.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.36 / $1,049.13 / $1,346.32	Professional		$364.36	$1,049.13	$1,346.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.84 / $201.32 / $245.39	Professional	26	$84.84	$201.32	$245.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.44 / $810.54 / $1,118.14	Professional	TC	$278.44	$810.54	$1,118.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.71 / $734.15 / $1,235.89	Professional		$486.71	$734.15	$1,235.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.08 / $118.63 / $224.40	Professional	26	$96.08	$118.63	$224.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $377.53 / $608.35 / $1,007.84	Professional	TC	$377.53	$608.35	$1,007.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $395.47 / $655.72 / $819.25	Professional		$395.47	$655.72	$819.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $92.51 / $95.77 / $175.52	Professional	26	$92.51	$95.77	$175.52
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $289.49 / $360.39 / $616.32	Professional	TC	$289.49	$360.39	$616.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $134.81 / $177.06	Professional		$118.92	$134.81	$177.06
United Facility/Professional Professional Modifier Low / Median / High Price $372.92 / $581.19 / $1,289.46	Professional		$372.92	$581.19	$1,289.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.38 / $126.27 / $302.30	Professional	26	$79.38	$126.27	$302.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.67 / $450.37 / $992.93	Professional	TC	$295.67	$450.37	$992.93