Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.13 / $305.52 / $404.19	Facility	26	$138.13	$305.52	$404.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.98 / $480.94 / $1,361.31	Professional		$277.98	$480.94	$1,361.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.39 / $138.13 / $543.22	Professional	26	$82.39	$138.13	$543.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.80 / $380.41 / $563.60	Professional	TC	$212.80	$380.41	$563.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $937.24 / $1,111.99	Professional		$290.77	$937.24	$1,111.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.50 / $211.39 / $260.95	Professional	26	$89.50	$211.39	$260.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $436.16 / $1,405.86 / $1,667.98	Professional	50	$436.16	$1,405.86	$1,667.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $210.21 / $735.29 / $872.39	Professional	TC	$210.21	$735.29	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.93 / $714.56 / $1,077.64	Professional		$419.93	$714.56	$1,077.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $123.85 / $230.30	Professional	26	$75.59	$123.85	$230.30
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $523.66 / $523.66 / $523.66	Professional	50	$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $318.01 / $571.38 / $847.33	Professional	TC	$318.01	$571.38	$847.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $317.81 / $617.38 / $759.81	Professional		$317.81	$617.38	$759.81
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $97.75 / $101.20 / $185.00	Professional	26	$97.75	$101.20	$185.00
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $209.23 / $260.45 / $440.27	Professional	TC	$209.23	$260.45	$440.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $181.79 / $275.75	Professional		$136.51	$181.79	$275.75
United Facility/Professional Professional Modifier Low / Median / High Price $356.26 / $524.76 / $1,060.23	Professional		$356.26	$524.76	$1,060.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.49 / $132.21 / $274.63	Professional	26	$83.49	$132.21	$274.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.49 / $423.84 / $801.49	Professional	TC	$256.49	$423.84	$801.49