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 / $464.31	Facility	26	$166.95	$355.27	$464.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $600.00 / $2,997.46	Professional		$370.50	$600.00	$2,997.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $389.19	Professional	26	$111.15	$166.95	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $1,020.25	Professional	TC	$335.00	$433.05	$1,020.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.79 / $1,224.91 / $1,635.07	Professional		$420.79	$1,224.91	$1,635.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.45 / $237.72 / $293.45	Professional	26	$103.45	$237.72	$293.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $320.54 / $978.39 / $1,365.64	Professional	TC	$320.54	$978.39	$1,365.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $1,286.43 / $1,829.92	Professional		$564.00	$1,286.43	$1,829.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.72 / $141.27 / $267.83	Professional	26	$95.72	$141.27	$267.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $427.83 / $1,037.32 / $1,610.97	Professional	TC	$427.83	$1,037.32	$1,610.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $493.01 / $929.84 / $1,576.29	Professional		$493.01	$929.84	$1,576.29
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 $327.83 / $408.31 / $697.38	Professional	TC	$327.83	$408.31	$697.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $195.38 / $229.89	Professional		$147.07	$195.38	$229.89
United Facility/Professional Professional Modifier Low / Median / High Price $402.83 / $818.85 / $1,461.66	Professional		$402.83	$818.85	$1,461.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.10 / $151.19 / $345.72	Professional	26	$91.10	$151.19	$345.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $310.41 / $604.15 / $1,088.68	Professional	TC	$310.41	$604.15	$1,088.68