Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.15 / $229.30 / $320.94	Facility	26	$77.15	$229.30	$320.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.97 / $558.79 / $1,390.36	Professional		$416.97	$558.79	$1,390.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.38 / $77.15 / $238.70	Professional	26	$55.38	$77.15	$238.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.60 / $481.65 / $1,083.86	Professional	TC	$361.60	$481.65	$1,083.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.29 / $1,218.51 / $1,445.70	Professional		$463.29	$1,218.51	$1,445.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.38 / $176.67 / $209.61	Professional	26	$63.38	$176.67	$209.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $395.69 / $1,041.83 / $1,236.09	Professional	TC	$395.69	$1,041.83	$1,236.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.50 / $770.22 / $1,294.17	Professional		$630.50	$770.22	$1,294.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.74 / $97.22 / $174.07	Professional	26	$85.74	$97.22	$174.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $541.05 / $667.23 / $1,115.66	Professional	TC	$541.05	$667.23	$1,115.66
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $499.15 / $652.21 / $685.06	Professional		$499.15	$652.21	$685.06
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $75.42 / $75.42 / $75.42	Professional	26	$75.42	$75.42	$75.42
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $423.73 / $423.73 / $423.73	Professional	TC	$423.73	$423.73	$423.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $100.00 / $213.75	Professional		$93.81	$100.00	$213.75
United Facility/Professional Professional Modifier Low / Median / High Price $430.70 / $758.51 / $1,290.79	Professional		$430.70	$758.51	$1,290.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.67 / $103.07 / $184.64	Professional	26	$57.67	$103.07	$184.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $373.03 / $632.37 / $1,026.78	Professional	TC	$373.03	$632.37	$1,026.78