Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $302.00 / $354.81	Facility	26	$93.33	$302.00	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $2,570.40	Professional		$323.59	$616.60	$2,570.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $91.20 / $281.84	Professional	26	$64.57	$91.20	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $436.52 / $912.01	Professional	TC	$269.15	$436.52	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $977.24	Professional		$457.09	$691.83	$977.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $107.15 / $177.83	Professional	26	$75.86	$107.15	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $588.84 / $794.33	Professional	TC	$389.05	$588.84	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,096.48	Professional		$549.54	$707.95	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $109.65 / $165.96	Professional	26	$91.20	$109.65	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $575.44 / $1,122.02	Professional	TC	$426.58	$575.44	$1,122.02
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $1,621.81	Professional		$478.63	$512.86	$1,621.81
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $87.10	Professional	26	$70.79	$87.10	$87.10
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $426.58 / $489.78	Professional	TC	$398.11	$426.58	$489.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $616.60 / $1,819.70	Professional		$107.15	$616.60	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,348.96	Professional		$457.09	$676.08	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $218.78	Professional	26	$72.44	$109.65	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $549.54 / $1,122.02	Professional	TC	$380.19	$549.54	$1,122.02