Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $287.55 / $373.68	Facility	26	$166.95	$287.55	$373.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.22 / $600.00 / $1,224.97	Professional		$404.22	$600.00	$1,224.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $145.65 / $170.73	Professional	26	$111.15	$145.65	$170.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $318.39 / $433.05 / $727.72	Professional	TC	$318.39	$433.05	$727.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.85 / $961.41 / $1,341.93	Professional		$329.85	$961.41	$1,341.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.18 / $192.03 / $237.05	Professional	26	$82.18	$192.03	$237.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $247.53 / $805.47 / $1,124.27	Professional	TC	$247.53	$805.47	$1,124.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.44 / $780.70 / $1,243.08	Professional		$442.44	$780.70	$1,243.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.89 / $114.47 / $217.02	Professional	26	$78.89	$114.47	$217.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $335.43 / $653.05 / $940.68	Professional	TC	$335.43	$653.05	$940.68
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $754.19 / $919.02	Professional		$358.60	$754.19	$919.02
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $88.08 / $92.40 / $169.16	Professional	26	$88.08	$92.40	$169.16
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $257.13 / $320.18 / $617.54	Professional	TC	$257.13	$320.18	$617.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $157.28 / $158.00	Professional		$157.28	$157.28	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.69 / $628.04 / $1,221.66	Professional		$356.69	$628.04	$1,221.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.95 / $124.30 / $278.58	Professional	26	$77.95	$124.30	$278.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.06 / $461.58 / $920.45	Professional	TC	$239.06	$461.58	$920.45