Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.27 / $321.33 / $519.10	Facility	26	$109.27	$321.33	$519.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.16 / $728.82 / $2,377.00	Professional		$532.16	$728.82	$2,377.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.37 / $114.07 / $399.00	Professional	26	$75.37	$114.07	$399.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $413.91 / $660.71 / $2,178.00	Professional	TC	$413.91	$660.71	$2,178.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.63 / $874.11 / $1,020.08	Professional		$476.63	$874.11	$1,020.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.58 / $127.33 / $149.77	Professional	26	$80.58	$127.33	$149.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $392.36 / $738.18 / $874.36	Professional	TC	$392.36	$738.18	$874.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.52 / $607.90 / $1,350.22	Professional		$426.52	$607.90	$1,350.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.24 / $106.55 / $193.51	Professional	26	$92.24	$106.55	$193.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.63 / $510.10 / $1,141.60	Professional	TC	$331.63	$510.10	$1,141.60
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $548.72 / $581.22	Professional		$411.00	$548.72	$581.22
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $71.98 / $74.84 / $94.61	Professional	26	$71.98	$74.84	$94.61
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $408.41 / $422.82 / $473.88	Professional	TC	$408.41	$422.82	$473.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $198.64 / $254.47	Professional		$141.91	$198.64	$254.47
United Facility/Professional Professional Modifier Low / Median / High Price $417.14 / $626.41 / $1,177.35	Professional		$417.14	$626.41	$1,177.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.02 / $117.82 / $189.02	Professional	26	$72.02	$117.82	$189.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $423.67 / $616.08 / $1,930.23	Professional	TC	$423.67	$616.08	$1,930.23