Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.16 / $354.95 / $469.98	Facility	26	$160.16	$354.95	$469.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.52 / $560.23 / $2,426.00	Professional		$401.52	$560.23	$2,426.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $158.69 / $355.41	Professional	26	$81.31	$158.69	$355.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $283.11 / $421.11 / $1,197.13	Professional	TC	$283.11	$421.11	$1,197.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.96 / $1,122.91 / $1,449.89	Professional		$413.96	$1,122.91	$1,449.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.16 / $240.04 / $297.95	Professional	26	$105.16	$240.04	$297.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $308.81 / $851.66 / $1,177.81	Professional	TC	$308.81	$851.66	$1,177.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.04 / $840.69 / $1,329.11	Professional		$526.04	$840.69	$1,329.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.59 / $147.52 / $267.27	Professional	26	$117.59	$147.52	$267.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $371.00 / $675.36 / $1,061.84	Professional	TC	$371.00	$675.36	$1,061.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $451.61 / $729.64 / $907.51	Professional		$451.61	$729.64	$907.51
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $107.07 / $118.05 / $215.34	Professional	26	$107.07	$118.05	$215.34
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $322.18 / $401.15 / $685.76	Professional	TC	$322.18	$401.15	$685.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $309.14 / $608.66	Professional		$158.58	$309.14	$608.66
United Facility/Professional Professional Modifier Low / Median / High Price $383.48 / $603.14 / $1,226.48	Professional		$383.48	$603.14	$1,226.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.29 / $154.22 / $315.47	Professional	26	$98.29	$154.22	$315.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $290.02 / $470.90 / $892.90	Professional	TC	$290.02	$470.90	$892.90