Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.84 / $325.16 / $432.13	Facility	26	$146.84	$325.16	$432.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.23 / $531.75 / $2,055.00	Professional		$315.23	$531.75	$2,055.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $144.62 / $332.34	Professional	26	$84.53	$144.62	$332.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.14 / $384.90 / $1,374.00	Professional	TC	$263.14	$384.90	$1,374.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.34 / $987.53 / $1,171.66	Professional		$370.34	$987.53	$1,171.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.22 / $219.90 / $272.97	Professional	26	$96.22	$219.90	$272.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $274.12 / $772.23 / $922.41	Professional	TC	$274.12	$772.23	$922.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.60 / $649.48 / $1,072.46	Professional		$470.60	$649.48	$1,072.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.60 / $137.88 / $244.96	Professional	26	$107.60	$137.88	$244.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $348.33 / $511.58 / $827.51	Professional	TC	$348.33	$511.58	$827.51
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $564.32 / $771.92	Professional		$401.40	$564.32	$771.92
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $100.02 / $107.66 / $196.88	Professional	26	$100.02	$107.66	$196.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $283.73 / $353.34 / $520.99	Professional	TC	$283.73	$353.34	$520.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $147.24 / $295.10 / $934.12	Professional		$147.24	$295.10	$934.12
United Facility/Professional Professional Modifier Low / Median / High Price $368.61 / $554.78 / $1,097.00	Professional		$368.61	$554.78	$1,097.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.87 / $143.49 / $273.33	Professional	26	$88.87	$143.49	$273.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.44 / $394.78 / $807.94	Professional	TC	$262.44	$394.78	$807.94