Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.12 / $262.43 / $342.88	Facility	26	$111.12	$262.43	$342.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.74 / $645.52 / $2,337.00	Professional		$338.74	$645.52	$2,337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.36 / $111.12 / $220.50	Professional	26	$56.36	$111.12	$220.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $534.39 / $784.59	Professional	TC	$274.27	$534.39	$784.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.01 / $1,019.24 / $1,189.45	Professional		$386.01	$1,019.24	$1,189.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.63 / $195.90 / $232.42	Professional	26	$69.63	$195.90	$232.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.37 / $820.06 / $957.01	Professional	TC	$316.37	$820.06	$957.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.46 / $672.61 / $937.97	Professional		$567.46	$672.61	$937.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.09 / $107.16 / $171.74	Professional	26	$92.09	$107.16	$171.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $464.47 / $566.80 / $785.20	Professional	TC	$464.47	$566.80	$785.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $98.93 / $456.47	Professional		$71.87	$98.93	$456.47
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $74.72 / $82.32	Professional	26	$71.87	$74.72	$82.32
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $374.14 / $374.14 / $374.14	Professional	TC	$374.14	$374.14	$374.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $111.36 / $226.41	Professional		$105.19	$111.36	$226.41
United Facility/Professional Professional Modifier Low / Median / High Price $382.86 / $686.85 / $1,252.78	Professional		$382.86	$686.85	$1,252.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.27 / $110.15 / $200.46	Professional	26	$70.27	$110.15	$200.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.62 / $518.85 / $903.00	Professional	TC	$242.62	$518.85	$903.00