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 $392.65 / $706.15 / $1,939.13	Professional		$392.65	$706.15	$1,939.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $298.67 / $810.02	Professional	26	$188.34	$298.67	$810.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.11 / $407.48 / $789.85	Professional	TC	$239.11	$407.48	$789.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.53 / $801.40 / $961.16	Professional		$467.53	$801.40	$961.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $218.95 / $350.31 / $412.02	Professional	26	$218.95	$350.31	$412.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $248.58 / $451.10 / $542.95	Professional	TC	$248.58	$451.10	$542.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.70 / $677.08 / $1,300.42	Professional		$586.70	$677.08	$1,300.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $264.48 / $300.27 / $536.60	Professional	26	$264.48	$300.27	$536.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $319.74 / $365.61 / $732.79	Professional	TC	$319.74	$365.61	$732.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $466.46 / $598.16 / $627.40	Professional		$466.46	$598.16	$627.40
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $201.82 / $209.81 / $259.82	Professional	26	$201.82	$209.81	$259.82
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $264.64 / $275.12 / $294.04	Professional	TC	$264.64	$275.12	$294.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $541.83 / $695.67 / $1,500.00	Professional		$541.83	$695.67	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.12 / $712.61 / $1,153.91	Professional		$497.12	$712.61	$1,153.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $178.99 / $319.24 / $515.57	Professional	26	$178.99	$319.24	$515.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.30 / $383.22 / $629.50	Professional	TC	$265.30	$383.22	$629.50