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 $208.93 / $549.54 / $1,621.81	Professional		$208.93	$549.54	$1,621.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $112.20 / $316.23	Professional	26	$67.61	$112.20	$316.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $199.53 / $512.86 / $1,698.24	Professional	52	$199.53	$512.86	$1,698.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $281.84 / $758.58	Professional	TC	$117.49	$281.84	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $660.69 / $1,047.13	Professional		$223.87	$660.69	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $147.91 / $204.17	Professional	26	$74.13	$147.91	$204.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $426.58 / $851.14	Professional	TC	$144.54	$426.58	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $602.56 / $831.76	Professional		$229.09	$602.56	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $107.15 / $208.93	Professional	26	$74.13	$107.15	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $416.87 / $660.69	Professional	TC	$151.36	$416.87	$660.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $645.65 / $1,000.00	Professional		$269.15	$645.65	$1,000.00
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $93.33 / $117.49	Professional	26	$79.43	$93.33	$117.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $190.55 / $524.81	Professional	TC	$147.91	$190.55	$524.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $575.44	Professional		$100.00	$128.82	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $776.25	Professional		$186.21	$331.13	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $208.93	Professional	26	$64.57	$87.10	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $208.93 / $501.19	Professional	TC	$123.03	$208.93	$501.19