Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $257.04 / $302.00	Facility	26	$186.21	$257.04	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $478.63 / $1,905.46	Professional		$134.90	$478.63	$1,905.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $138.04 / $309.03	Professional	26	$69.18	$138.04	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $776.25	Professional	TC	$223.87	$338.84	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $724.44 / $1,000.00	Professional		$281.84	$724.44	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $131.83 / $173.78	Professional	26	$63.10	$131.83	$173.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $616.60 / $851.14	Professional	TC	$213.80	$616.60	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,071.52	Professional		$371.54	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $95.50 / $190.55	Professional	26	$60.26	$95.50	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $562.34 / $870.96	Professional	TC	$295.12	$562.34	$870.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,096.48	Professional		$416.87	$630.96	$1,096.48
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $102.33	Professional	26	$69.18	$85.11	$102.33
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $380.19 / $602.56	Professional	TC	$288.40	$380.19	$602.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $131.83	Professional		$91.20	$109.65	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,023.29	Professional		$309.03	$501.19	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $186.21	Professional	26	$56.23	$79.43	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $398.11 / $912.01	Professional	TC	$245.47	$398.11	$912.01