Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $436.52 / $512.86	Facility	26	$186.21	$436.52	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $2,570.40	Professional		$331.13	$575.44	$2,570.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $177.83 / $524.81	Professional	26	$104.71	$177.83	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $891.25	Professional	TC	$218.78	$338.84	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,000.00 / $1,548.82	Professional		$363.08	$1,000.00	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $229.09 / $323.59	Professional	26	$109.65	$229.09	$323.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $630.96 / $1,230.27	Professional	TC	$239.88	$630.96	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $977.24 / $1,479.11	Professional		$389.05	$977.24	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $165.96 / $323.59	Professional	26	$117.49	$165.96	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $707.95 / $1,288.25	Professional	TC	$269.15	$707.95	$1,288.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,548.82	Professional		$457.09	$1,023.29	$1,548.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $144.54 / $190.55	Professional	26	$123.03	$144.54	$190.55
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $331.13 / $758.58	Professional	TC	$257.04	$331.13	$758.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $281.84	Professional		$154.88	$181.97	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $1,380.38	Professional		$316.23	$562.34	$1,380.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $134.90 / $316.23	Professional	26	$97.72	$134.90	$316.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $371.54 / $977.24	Professional	TC	$218.78	$371.54	$977.24