Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $224.45 / $291.45	Facility	26	$166.95	$224.45	$291.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.06 / $600.00 / $1,983.89	Professional		$360.06	$600.00	$1,983.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.01 / $166.94 / $368.00	Professional	26	$89.01	$166.94	$368.00
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 $289.66 / $878.05 / $1,041.77	Professional		$289.66	$878.05	$1,041.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $149.44 / $184.48	Professional	26	$64.20	$149.44	$184.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.08 / $697.96 / $872.39	Professional	TC	$220.08	$697.96	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.66 / $691.37 / $1,117.11	Professional		$438.66	$691.37	$1,117.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.70 / $89.82 / $169.61	Professional	26	$59.70	$89.82	$169.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $350.00 / $587.55 / $952.79	Professional	TC	$350.00	$587.55	$952.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $358.12 / $632.77 / $1,166.54	Professional		$358.12	$632.77	$1,166.54
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $68.67 / $72.63 / $132.97	Professional	26	$68.67	$72.63	$132.97
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $275.75 / $343.39 / $586.77	Professional	TC	$275.75	$343.39	$586.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $122.89 / $201.25	Professional		$90.50	$122.89	$201.25
United Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $590.25 / $1,129.01	Professional		$355.25	$590.25	$1,129.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.41 / $98.97 / $218.41	Professional	26	$60.41	$98.97	$218.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.49 / $506.89 / $910.60	Professional	TC	$288.49	$506.89	$910.60