Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.73 / $385.99 / $513.38	Facility	26	$172.73	$385.99	$513.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $572.85 / $1,926.86	Professional		$263.20	$572.85	$1,926.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.31 / $172.73 / $654.00	Professional	26	$100.31	$172.73	$654.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.80 / $400.12 / $740.09	Professional	TC	$212.80	$400.12	$740.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.35 / $817.81 / $1,015.39	Professional		$306.35	$817.81	$1,015.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.31 / $258.62 / $319.26	Professional	26	$114.31	$258.62	$319.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.88 / $568.85 / $682.63	Professional	TC	$190.88	$568.85	$682.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.36 / $770.78 / $1,210.83	Professional		$471.36	$770.78	$1,210.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.65 / $156.88 / $294.67	Professional	26	$125.65	$156.88	$294.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $320.89 / $625.86 / $876.62	Professional	TC	$320.89	$625.86	$876.62
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $383.03 / $622.79 / $875.89	Professional		$383.03	$622.79	$875.89
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $106.09 / $128.19 / $234.45	Professional	26	$106.09	$128.19	$234.45
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $246.16 / $306.38 / $524.28	Professional	TC	$246.16	$306.38	$524.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $321.10 / $465.94	Professional		$172.44	$321.10	$465.94
United Facility/Professional Professional Modifier Low / Median / High Price $338.65 / $582.69 / $1,051.58	Professional		$338.65	$582.69	$1,051.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.72 / $166.60 / $340.75	Professional	26	$103.72	$166.60	$340.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.19 / $400.50 / $740.32	Professional	TC	$244.19	$400.50	$740.32