Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $354.04 / $464.31	Facility	26	$166.95	$354.04	$464.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.06 / $600.00 / $3,332.00	Professional		$363.06	$600.00	$3,332.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $535.44	Professional	26	$111.15	$166.95	$535.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $1,120.91	Professional	TC	$335.00	$433.05	$1,120.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.20 / $1,179.59 / $1,646.48	Professional		$367.20	$1,179.59	$1,646.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.09 / $237.72 / $293.45	Professional	26	$103.09	$237.72	$293.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.87 / $986.56 / $1,377.04	Professional	TC	$264.87	$986.56	$1,377.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.46 / $1,157.48 / $1,830.96	Professional		$493.46	$1,157.48	$1,830.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.16 / $140.44 / $267.83	Professional	26	$97.16	$140.44	$267.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $341.13 / $975.97 / $1,654.09	Professional	TC	$341.13	$975.97	$1,654.09
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $441.60 / $970.57 / $1,667.14	Professional		$441.60	$970.57	$1,667.14
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 $273.85 / $341.03 / $729.65	Professional	TC	$273.85	$341.03	$729.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $195.62 / $1,030.47	Professional		$142.61	$195.62	$1,030.47
United Facility/Professional Professional Modifier Low / Median / High Price $387.88 / $706.50 / $1,395.32	Professional		$387.88	$706.50	$1,395.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.10 / $150.66 / $345.72	Professional	26	$91.10	$150.66	$345.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.81 / $519.27 / $996.05	Professional	TC	$277.81	$519.27	$996.05