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 / $501.19 / $1,479.11	Professional		$208.93	$501.19	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $134.90 / $331.13	Professional	26	$67.61	$134.90	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $281.84 / $575.44	Professional	TC	$123.03	$281.84	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $660.69 / $1,047.13	Professional		$218.78	$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 / $616.60 / $851.14	Professional		$229.09	$616.60	$851.14
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 / $426.58 / $707.95	Professional	TC	$151.36	$426.58	$707.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $660.69 / $1,000.00	Professional		$269.15	$660.69	$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 / $537.03	Professional	TC	$147.91	$190.55	$537.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $144.54	Professional		$97.72	$114.82	$144.54
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 / $524.81	Professional	TC	$123.03	$208.93	$524.81