Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $1,000.00 / $1,412.54	Facility	26	$331.13	$1,000.00	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,862.09	Professional		$389.05	$630.96	$1,862.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $346.74 / $812.83	Professional	26	$199.53	$346.74	$812.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $331.13 / $812.83	Professional	TC	$223.87	$331.13	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,096.48	Professional		$467.74	$812.83	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $346.74 / $549.54	Professional	26	$223.87	$346.74	$549.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $446.68 / $588.84	Professional	TC	$251.19	$446.68	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,122.02	Professional		$575.44	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $323.59 / $524.81	Professional	26	$257.04	$323.59	$524.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $389.05 / $588.84	Professional	TC	$331.13	$389.05	$588.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $645.65	Professional		$467.74	$602.56	$645.65
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $263.03 / $309.03	Professional	26	$199.53	$263.03	$309.03
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $363.08	Professional	TC	$263.03	$323.59	$363.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,513.56 / $1,513.56	Professional		$537.03	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,071.52	Professional		$426.58	$630.96	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $295.12 / $501.19	Professional	26	$186.21	$295.12	$501.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $331.13 / $616.60	Professional	TC	$223.87	$331.13	$616.60