Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $228.11 / $294.45	Facility	26	$166.95	$228.11	$294.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $600.00 / $2,790.00	Professional		$221.16	$600.00	$2,790.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.70 / $153.00 / $389.19	Professional	26	$68.70	$153.00	$389.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,218.00 / $1,218.00 / $1,218.00	Professional	50	$1,218.00	$1,218.00	$1,218.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $166.15 / $300.00 / $753.30	Professional	52	$166.15	$300.00	$753.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $241.98 / $433.05 / $972.99	Professional	TC	$241.98	$433.05	$972.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.92 / $748.88 / $1,045.29	Professional		$220.92	$748.88	$1,045.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.45 / $152.54 / $188.30	Professional	26	$65.45	$152.54	$188.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $331.38 / $1,123.32 / $1,567.93	Professional	50	$331.38	$1,123.32	$1,567.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.47 / $579.34 / $872.39	Professional	TC	$155.47	$579.34	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.18 / $610.46 / $854.92	Professional		$298.18	$610.46	$854.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.13 / $89.82 / $170.53	Professional	26	$61.13	$89.82	$170.53
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $343.71 / $343.71 / $343.71	Professional	50	$343.71	$343.71	$343.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.73 / $523.66 / $744.90	Professional	TC	$212.73	$523.66	$744.90
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $248.02 / $621.04 / $1,098.03	Professional		$248.02	$621.04	$1,098.03
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $70.12 / $72.63 / $132.97	Professional	26	$70.12	$72.63	$132.97
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $163.22 / $203.13 / $482.55	Professional	TC	$163.22	$203.13	$482.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $131.78 / $583.23	Professional		$93.02	$131.78	$583.23
United Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $431.13 / $797.66	Professional		$233.12	$431.13	$797.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.82 / $99.86 / $219.59	Professional	26	$59.82	$99.86	$219.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.79 / $291.77 / $627.10	Professional	TC	$162.79	$291.77	$627.10