Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $295.55 / $385.85	Facility	26	$166.95	$295.55	$385.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.47 / $600.00 / $1,396.33	Professional		$431.47	$600.00	$1,396.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $389.19	Professional	26	$111.15	$166.95	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $1,086.18	Professional	TC	$335.00	$433.05	$1,086.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.60 / $1,058.31 / $1,345.44	Professional		$367.60	$1,058.31	$1,345.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.58 / $199.00 / $245.65	Professional	26	$85.58	$199.00	$245.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $282.01 / $820.93 / $1,119.89	Professional	TC	$282.01	$820.93	$1,119.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.44 / $742.02 / $1,245.88	Professional		$492.44	$742.02	$1,245.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.71 / $117.64 / $224.40	Professional	26	$95.71	$117.64	$224.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $383.49 / $611.30 / $1,020.77	Professional	TC	$383.49	$611.30	$1,020.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $400.33 / $660.49 / $817.90	Professional		$400.33	$660.49	$817.90
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $91.55 / $95.91 / $175.16	Professional	26	$91.55	$95.91	$175.16
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $294.05 / $366.08 / $617.45	Professional	TC	$294.05	$366.08	$617.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $164.04 / $172.33	Professional		$121.75	$164.04	$172.33
United Facility/Professional Professional Modifier Low / Median / High Price $376.44 / $586.67 / $1,303.29	Professional		$376.44	$586.67	$1,303.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.23 / $127.84 / $301.14	Professional	26	$80.23	$127.84	$301.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.27 / $440.49 / $1,002.15	Professional	TC	$262.27	$440.49	$1,002.15