Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $355.27 / $465.94	Facility	26	$166.95	$355.27	$465.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.06 / $661.50 / $3,144.00	Professional		$363.06	$661.50	$3,144.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.63 / $166.95 / $389.19	Professional	26	$131.63	$166.95	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $1,461.00	Professional	TC	$335.00	$433.05	$1,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.58 / $1,230.09 / $1,633.32	Professional		$422.58	$1,230.09	$1,633.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.81 / $238.48 / $294.39	Professional	26	$101.81	$238.48	$294.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $318.77 / $976.51 / $1,363.00	Professional	TC	$318.77	$976.51	$1,363.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $1,286.43 / $1,829.92	Professional		$565.49	$1,286.43	$1,829.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.72 / $142.46 / $268.76	Professional	26	$95.72	$142.46	$268.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $429.32 / $1,039.41 / $1,615.96	Professional	TC	$429.32	$1,039.41	$1,615.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $492.63 / $932.28 / $1,579.44	Professional		$492.63	$932.28	$1,579.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $109.60 / $116.13 / $211.93	Professional	26	$109.60	$116.13	$211.93
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $328.96 / $409.74 / $699.82	Professional	TC	$328.96	$409.74	$699.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $160.49 / $225.80	Professional		$143.56	$160.49	$225.80
United Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $810.55 / $1,461.66	Professional		$450.50	$810.55	$1,461.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.23 / $164.57 / $346.90	Professional	26	$96.23	$164.57	$346.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.26 / $606.14 / $1,090.92	Professional	TC	$338.26	$606.14	$1,090.92