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 $275.42 / $446.68 / $1,096.48	Professional		$275.42	$446.68	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $407.38	Professional	26	$85.11	$138.04	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $331.13 / $691.83	Professional	TC	$190.55	$331.13	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $831.76 / $1,318.26	Professional		$309.03	$831.76	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $173.78 / $229.09	Professional	26	$87.10	$173.78	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $562.34 / $1,096.48	Professional	TC	$208.93	$562.34	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $1,071.52	Professional		$331.13	$758.58	$1,071.52
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 $234.42 / $602.56 / $812.83	Professional	TC	$234.42	$602.56	$812.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $891.25	Professional		$389.05	$758.58	$891.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $112.20 / $134.90	Professional	26	$91.20	$112.20	$134.90
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $295.12 / $660.69	Professional	TC	$223.87	$295.12	$660.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $1,000.00	Professional		$269.15	$467.74	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $104.71 / $245.47	Professional	26	$74.13	$104.71	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $323.59 / $776.25	Professional	TC	$190.55	$323.59	$776.25