Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $294.29 / $384.22	Facility	26	$166.95	$294.29	$384.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $600.00 / $2,493.77	Professional		$475.00	$600.00	$2,493.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $389.19	Professional	26	$111.15	$166.95	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $931.29	Professional	TC	$335.00	$433.05	$931.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.03 / $1,053.60 / $1,347.19	Professional		$369.03	$1,053.60	$1,347.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.17 / $199.00 / $245.65	Professional	26	$84.17	$199.00	$245.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $283.44 / $825.09 / $1,121.64	Professional	TC	$283.44	$825.09	$1,121.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.94 / $743.45 / $1,246.78	Professional		$468.94	$743.45	$1,246.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.71 / $117.64 / $222.05	Professional	26	$95.71	$117.64	$222.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $366.59 / $611.30 / $1,025.94	Professional	TC	$366.59	$611.30	$1,025.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $657.56 / $821.93	Professional		$402.30	$657.56	$821.93
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $91.55 / $96.31 / $175.85	Professional	26	$91.55	$96.31	$175.85
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $295.57 / $367.98 / $617.45	Professional	TC	$295.57	$367.98	$617.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $118.45 / $125.50	Professional		$118.45	$118.45	$125.50
United Facility/Professional Professional Modifier Low / Median / High Price $382.61 / $607.60 / $1,305.80	Professional		$382.61	$607.60	$1,305.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.91 / $129.76 / $301.14	Professional	26	$79.91	$129.76	$301.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.33 / $435.48 / $1,004.66	Professional	TC	$260.33	$435.48	$1,004.66