Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $379.87 / $494.91	Facility	26	$166.95	$379.87	$494.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $600.00 / $3,104.00	Professional		$370.50	$600.00	$3,104.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $564.00	Professional	26	$111.15	$166.95	$564.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.99 / $433.05 / $1,461.00	Professional	TC	$271.99	$433.05	$1,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.99 / $1,191.46 / $1,695.62	Professional		$347.99	$1,191.46	$1,695.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.31 / $272.95 / $323.85	Professional	26	$110.31	$272.95	$323.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.68 / $878.11 / $1,371.77	Professional	TC	$237.68	$878.11	$1,371.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $1,207.27 / $1,890.59	Professional		$467.10	$1,207.27	$1,890.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.57 / $161.47 / $285.42	Professional	26	$132.57	$161.47	$285.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.02 / $903.31 / $1,647.47	Professional	TC	$322.02	$903.31	$1,647.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $396.75 / $948.05 / $1,627.86	Professional		$396.75	$948.05	$1,627.86
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $119.54 / $131.44 / $225.79	Professional	26	$119.54	$131.44	$225.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $246.87 / $307.38 / $686.98	Professional	TC	$246.87	$307.38	$686.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $234.70 / $276.20	Professional		$156.81	$234.70	$276.20
United Facility/Professional Professional Modifier Low / Median / High Price $367.83 / $664.33 / $1,356.39	Professional		$367.83	$664.33	$1,356.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.76 / $164.21 / $368.48	Professional	26	$106.76	$164.21	$368.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.73 / $456.25 / $889.52	Professional	TC	$255.73	$456.25	$889.52