Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.57 / $300.51 / $448.63	Facility		$158.57	$300.51	$448.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.42 / $135.08 / $174.64	Facility	26	$43.42	$135.08	$174.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $146.41 / $768.00	Professional		$97.36	$146.41	$768.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $43.42 / $140.26	Professional	26	$30.40	$43.42	$140.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.39 / $99.56 / $321.41	Professional	TC	$67.39	$99.56	$321.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $234.47 / $345.92	Facility		$150.00	$234.47	$345.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $187.33 / $247.45	Professional		$118.28	$187.33	$247.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.47 / $57.40 / $72.91	Professional	26	$37.47	$57.40	$72.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.83 / $127.44 / $175.51	Professional	TC	$78.83	$127.44	$175.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.02 / $314.57 / $535.27	Facility		$177.02	$314.57	$535.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $188.99 / $332.75	Professional		$129.19	$188.99	$332.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.37 / $53.84 / $90.29	Professional	26	$43.37	$53.84	$90.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.49 / $129.60 / $225.42	Professional	TC	$88.49	$129.60	$225.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $158.85 / $188.88	Professional		$135.22	$158.85	$188.88
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $36.89 / $41.89 / $59.89	Professional	26	$36.89	$41.89	$59.89
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $88.30 / $101.85 / $143.55	Professional	TC	$88.30	$101.85	$143.55
Health New England Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $335.25 / $767.34	Facility		$87.14	$335.25	$767.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $116.49 / $246.66	Professional		$59.21	$116.49	$246.66
United Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $166.26 / $298.97	Professional		$103.75	$166.26	$298.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $53.85 / $91.97	Professional	26	$33.90	$53.85	$91.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.86 / $113.29 / $202.65	Professional	TC	$70.86	$113.29	$202.65