Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $362.22 / $473.49	Facility	26	$166.95	$362.22	$473.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.23 / $606.79 / $3,284.00	Professional		$401.23	$606.79	$3,284.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $563.44	Professional	26	$111.15	$166.95	$563.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $1,887.23	Professional	TC	$335.00	$433.05	$1,887.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.73 / $1,189.03 / $1,659.65	Professional		$366.73	$1,189.03	$1,659.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.48 / $247.29 / $307.02	Professional	26	$105.48	$247.29	$307.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.80 / $986.56 / $1,377.04	Professional	TC	$262.80	$986.56	$1,377.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.65 / $1,203.26 / $1,843.49	Professional		$492.65	$1,203.26	$1,843.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.91 / $147.65 / $274.61	Professional	26	$103.91	$147.65	$274.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $353.81 / $970.24 / $1,658.25	Professional	TC	$353.81	$970.24	$1,658.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $441.06 / $972.23 / $1,669.88	Professional		$441.06	$972.23	$1,669.88
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $114.35 / $118.38 / $216.15	Professional	26	$114.35	$118.38	$216.15
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $271.19 / $337.70 / $724.99	Professional	TC	$271.19	$337.70	$724.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $212.20 / $1,031.06	Professional		$150.00	$212.20	$1,031.06
United Facility/Professional Professional Modifier Low / Median / High Price $388.98 / $702.49 / $1,355.95	Professional		$388.98	$702.49	$1,355.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $159.71 / $352.50	Professional	26	$95.10	$159.71	$352.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.74 / $503.43 / $988.53	Professional	TC	$284.74	$503.43	$988.53