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 $393.67 / $600.00 / $3,246.67	Professional		$393.67	$600.00	$3,246.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $575.00	Professional	26	$111.15	$166.95	$575.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.67 / $422.10 / $1,748.38	Professional	TC	$265.67	$422.10	$1,748.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.71 / $1,138.09 / $1,588.56	Professional		$348.71	$1,138.09	$1,588.56
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 $238.39 / $859.50 / $1,264.69	Professional	TC	$238.39	$859.50	$1,264.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.11 / $1,207.27 / $1,824.01	Professional		$443.11	$1,207.27	$1,824.01
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 $307.12 / $862.88 / $1,550.13	Professional	TC	$307.12	$862.88	$1,550.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $891.04 / $1,616.33	Professional		$397.50	$891.04	$1,616.33
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 $247.61 / $308.33 / $637.71	Professional	TC	$247.61	$308.33	$637.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $239.57 / $309.54	Professional		$156.81	$239.57	$309.54
United Facility/Professional Professional Modifier Low / Median / High Price $327.61 / $675.69 / $1,438.64	Professional		$327.61	$675.69	$1,438.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.58 / $167.49 / $368.48	Professional	26	$106.58	$167.49	$368.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.80 / $471.87 / $892.05	Professional	TC	$248.80	$471.87	$892.05