Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $338.84 / $398.11	Facility	26	$186.21	$338.84	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $2,137.96	Professional		$346.74	$562.34	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $302.00	Professional	26	$85.11	$138.04	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $912.01	Professional	TC	$257.04	$338.84	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $891.25 / $1,318.26	Professional		$354.81	$891.25	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $173.78 / $229.09	Professional	26	$83.18	$173.78	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $691.83 / $1,096.48	Professional	TC	$275.42	$691.83	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,202.26	Professional		$389.05	$741.31	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $251.19	Professional	26	$85.11	$125.89	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $575.44 / $912.01	Professional	TC	$302.00	$575.44	$912.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $812.83	Professional		$478.63	$660.69	$812.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $112.20 / $134.90	Professional	26	$93.33	$112.20	$134.90
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $398.11 / $616.60	Professional	TC	$302.00	$398.11	$616.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $177.83	Professional		$120.23	$144.54	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,047.13	Professional		$316.23	$512.86	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $102.33 / $234.42	Professional	26	$70.79	$102.33	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $398.11 / $831.76	Professional	TC	$239.88	$398.11	$831.76