Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $1,122.02	Facility		$74.13	$104.71	$1,122.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.06 / $120.23 / $141.25	Facility	26	$0.06	$120.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $501.19	Professional		$47.86	$93.33	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $42.66 / $138.04	Professional	26	$25.70	$42.66	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $173.78	Professional	TC	$20.89	$32.36	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $288.40	Facility		$128.82	$213.80	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $190.55 / $309.03	Professional		$56.23	$190.55	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $39.81 / $61.66	Professional	26	$28.84	$39.81	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $162.18 / $263.03	Professional	TC	$28.18	$162.18	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $457.09	Facility		$72.44	$128.82	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $309.03	Professional		$67.61	$128.82	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $83.18	Professional	26	$33.88	$44.67	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $70.79 / $257.04	Professional	TC	$30.90	$70.79	$257.04
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $223.87 / $295.12	Professional		$87.10	$223.87	$295.12
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $46.77 / $74.13	Professional	26	$37.15	$46.77	$74.13
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $56.23 / $223.87	Professional	TC	$39.81	$56.23	$223.87
Health New England Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,949.84 / $2,344.23	Facility		$245.47	$1,949.84	$2,344.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $97.72	Professional		$42.66	$61.66	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $204.17	Professional		$48.98	$87.10	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $63.10	Professional	26	$24.55	$34.67	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.90 / $162.18	Professional	TC	$22.39	$38.90	$162.18