Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $557.04 / $1,631.88 / $2,636.12	Facility	26	$557.04	$1,631.88	$2,636.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.03 / $3,018.54 / $10,208.00	Professional		$1,542.03	$3,018.54	$10,208.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $302.39 / $557.04 / $1,492.99	Professional	26	$302.39	$557.04	$1,492.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,542.03 / $2,530.81 / $7,685.00	Professional	TC	$1,542.03	$2,530.81	$7,685.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,897.63 / $3,236.17 / $3,881.28	Professional		$1,897.63	$3,236.17	$3,881.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $405.75 / $654.78 / $770.13	Professional	26	$405.75	$654.78	$770.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,491.87 / $2,555.76 / $3,111.15	Professional	TC	$1,491.87	$2,555.76	$3,111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.78 / $2,538.42 / $5,138.64	Professional		$1,907.78	$2,538.42	$5,138.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $474.05 / $541.09 / $997.49	Professional	26	$474.05	$541.09	$997.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,421.69 / $1,997.34 / $4,071.70	Professional	TC	$1,421.69	$1,997.34	$4,071.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,838.41 / $2,174.23 / $2,552.61	Professional		$1,838.41	$2,174.23	$2,552.61
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $371.34 / $386.04 / $485.09	Professional	26	$371.34	$386.04	$485.09
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $1,631.56 / $1,689.14 / $1,768.71	Professional	TC	$1,631.56	$1,689.14	$1,768.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $747.72 / $1,190.11 / $1,294.58	Professional		$747.72	$1,190.11	$1,294.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,581.95 / $2,601.23 / $4,503.10	Professional		$1,581.95	$2,601.23	$4,503.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $402.55 / $598.35 / $959.89	Professional	26	$402.55	$598.35	$959.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $904.71 / $2,123.09 / $3,603.96	Professional	TC	$904.71	$2,123.09	$3,603.96