Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $281.84 / $331.13	Facility	26	$186.21	$281.84	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $478.63 / $1,445.44	Professional		$204.17	$478.63	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $125.89 / $331.13	Professional	26	$69.18	$125.89	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $302.00 / $562.34	Professional	TC	$131.83	$302.00	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $645.65 / $1,023.29	Professional		$218.78	$645.65	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $141.25 / $186.21	Professional	26	$70.79	$141.25	$186.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $426.58 / $851.14	Professional	TC	$141.25	$426.58	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $616.60 / $831.76	Professional		$263.03	$616.60	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $204.17	Professional	26	$69.18	$102.33	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $446.68 / $660.69	Professional	TC	$194.98	$446.68	$660.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $741.31	Professional		$275.42	$616.60	$741.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $107.15	Professional	26	$74.13	$91.20	$107.15
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $199.53 / $524.81	Professional	TC	$154.88	$199.53	$524.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $144.54	Professional		$97.72	$112.20	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $776.25	Professional		$194.98	$363.08	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $204.17	Professional	26	$60.26	$85.11	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $229.09 / $588.84	Professional	TC	$131.83	$229.09	$588.84