Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $1,862.09 / $2,630.27	Facility	26	$616.60	$1,862.09	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $9,772.37	Professional		$1,479.11	$2,754.23	$9,772.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $616.60 / $1,905.46	Professional	26	$371.54	$616.60	$1,905.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,230.27 / $1,995.26 / $6,309.57	Professional	TC	$1,230.27	$1,995.26	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $4,466.84	Professional		$1,905.46	$3,311.31	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $660.69 / $1,023.29	Professional	26	$426.58	$660.69	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,479.11 / $2,570.40 / $3,467.37	Professional	TC	$1,479.11	$2,570.40	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,897.79	Professional		$1,905.46	$2,691.53	$4,897.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $457.09 / $588.84 / $977.24	Professional	26	$457.09	$588.84	$977.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,412.54 / $2,089.30 / $4,073.80	Professional	TC	$1,412.54	$2,089.30	$4,073.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $2,691.53	Professional		$1,819.70	$2,454.71	$2,691.53
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $489.78 / $575.44	Professional	26	$371.54	$489.78	$575.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $1,698.24 / $2,089.30 / $2,238.72	Professional	TC	$1,698.24	$2,089.30	$2,238.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,000.00	Professional		$741.31	$776.25	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $4,265.80	Professional		$1,584.89	$2,511.89	$4,265.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $549.54 / $933.25	Professional	26	$346.74	$549.54	$933.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,174.90 / $1,949.84 / $3,388.44	Professional	TC	$1,174.90	$1,949.84	$3,388.44