Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $362.22 / $473.49	Facility	26	$166.95	$362.22	$473.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $617.17 / $3,292.00	Professional		$425.00	$617.17	$3,292.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.89 / $166.94 / $544.50	Professional	26	$99.89	$166.94	$544.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $433.05 / $1,266.79	Professional	TC	$259.35	$433.05	$1,266.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $1,189.03 / $1,659.65	Professional		$368.16	$1,189.03	$1,659.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.48 / $247.29 / $307.02	Professional	26	$105.48	$247.29	$307.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.50 / $986.56 / $1,377.04	Professional	TC	$263.50	$986.56	$1,377.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.63 / $1,204.92 / $1,843.49	Professional		$494.63	$1,204.92	$1,843.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.91 / $147.65 / $274.61	Professional	26	$103.91	$147.65	$274.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $355.80 / $972.33 / $1,658.25	Professional	TC	$355.80	$972.33	$1,658.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $400.72 / $973.58 / $1,518.45	Professional		$400.72	$973.58	$1,518.45
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $114.35 / $118.38 / $216.15	Professional	26	$114.35	$118.38	$216.15
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $272.70 / $339.60 / $726.93	Professional	TC	$272.70	$339.60	$726.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $216.62 / $993.26	Professional		$150.00	$216.62	$993.26
United Facility/Professional Professional Modifier Low / Median / High Price $389.33 / $708.21 / $1,358.44	Professional		$389.33	$708.21	$1,358.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.47 / $167.41 / $352.49	Professional	26	$98.47	$167.41	$352.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.05 / $506.14 / $991.02	Professional	TC	$270.05	$506.14	$991.02