Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $298.67 / $876.51 / $1,415.91	Facility	26	$298.67	$876.51	$1,415.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.95 / $781.69 / $2,751.00	Professional		$504.95	$781.69	$2,751.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $220.49 / $298.67 / $1,151.00	Professional	26	$220.49	$298.67	$1,151.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $306.66 / $436.20 / $1,800.47	Professional	TC	$306.66	$436.20	$1,800.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.71 / $815.28 / $977.80	Professional		$483.71	$815.28	$977.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $218.95 / $361.09 / $439.97	Professional	26	$218.95	$361.09	$439.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.76 / $448.43 / $537.82	Professional	TC	$264.76	$448.43	$537.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.47 / $1,523.11 / $1,899.17	Professional		$640.47	$1,523.11	$1,899.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $261.47 / $297.31 / $569.97	Professional	26	$261.47	$297.31	$569.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $343.37 / $908.63 / $1,525.09	Professional	TC	$343.37	$908.63	$1,525.09
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $547.09 / $1,099.72 / $1,637.07	Professional		$547.09	$1,099.72	$1,637.07
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $211.96 / $220.35 / $259.82	Professional	26	$211.96	$220.35	$259.82
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $296.12 / $306.57 / $351.63	Professional	TC	$296.12	$306.57	$351.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $414.72 / $639.53 / $695.67	Professional		$414.72	$639.53	$695.67
United Facility/Professional Professional Modifier Low / Median / High Price $554.27 / $880.05 / $1,622.17	Professional		$554.27	$880.05	$1,622.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $176.38 / $299.07 / $515.58	Professional	26	$176.38	$299.07	$515.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $276.48 / $434.30 / $1,082.57	Professional	TC	$276.48	$434.30	$1,082.57