Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $271.29 / $353.83	Facility	26	$166.95	$271.29	$353.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $600.00 / $2,367.67	Professional		$370.50	$600.00	$2,367.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.82 / $166.95 / $389.19	Professional	26	$107.82	$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 $342.21 / $996.16 / $1,273.47	Professional		$342.21	$996.16	$1,273.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.19 / $180.41 / $222.71	Professional	26	$77.19	$180.41	$222.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.76 / $767.79 / $1,068.98	Professional	TC	$263.76	$767.79	$1,068.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.64 / $773.68 / $1,162.41	Professional		$453.64	$773.68	$1,162.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.12 / $107.67 / $203.83	Professional	26	$71.12	$107.67	$203.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $355.30 / $657.28 / $962.21	Professional	TC	$355.30	$657.28	$962.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $396.44 / $706.35 / $1,194.85	Professional		$396.44	$706.35	$1,194.85
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $82.90 / $87.07 / $159.46	Professional	26	$82.90	$87.07	$159.46
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $272.33 / $339.13 / $579.51	Professional	TC	$272.33	$339.13	$579.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $146.84 / $158.13	Professional		$108.50	$146.84	$158.13
United Facility/Professional Professional Modifier Low / Median / High Price $367.51 / $646.19 / $1,160.36	Professional		$367.51	$646.19	$1,160.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $121.88 / $261.62	Professional	26	$71.17	$121.88	$261.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $287.23 / $492.06 / $898.75	Professional	TC	$287.23	$492.06	$898.75