Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.93 / $382.34 / $512.59	Facility	26	$173.93	$382.34	$512.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.91 / $515.60 / $1,437.56	Professional		$298.91	$515.60	$1,437.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.37 / $173.93 / $378.80	Professional	26	$104.37	$173.93	$378.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.81 / $380.16 / $685.42	Professional	TC	$212.81	$380.16	$685.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.91 / $1,026.84 / $1,207.75	Professional		$304.91	$1,026.84	$1,207.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.67 / $266.36 / $328.81	Professional	26	$113.67	$266.36	$328.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.24 / $758.11 / $873.27	Professional	TC	$191.24	$758.11	$873.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.50 / $894.31 / $1,352.62	Professional		$516.50	$894.31	$1,352.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.30 / $157.16 / $289.10	Professional	26	$118.30	$157.16	$289.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $372.53 / $738.03 / $1,094.18	Professional	TC	$372.53	$738.03	$1,094.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $705.69 / $1,031.91	Professional		$343.63	$705.69	$1,031.91
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $122.74 / $127.07 / $232.25	Professional	26	$122.74	$127.07	$232.25
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $209.18 / $260.51 / $485.21	Professional	TC	$209.18	$260.51	$485.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $218.11 / $334.35	Professional		$161.68	$218.11	$334.35
United Facility/Professional Professional Modifier Low / Median / High Price $430.06 / $669.70 / $1,343.84	Professional		$430.06	$669.70	$1,343.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.57 / $166.58 / $340.73	Professional	26	$106.57	$166.58	$340.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $319.39 / $540.73 / $952.99	Professional	TC	$319.39	$540.73	$952.99