Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $502.42 / $965.73	Professional		$288.17	$502.42	$965.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.02 / $44.27 / $118.34	Professional	26	$30.02	$44.27	$118.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $258.14 / $459.05 / $879.16	Professional	TC	$258.14	$459.05	$879.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.35 / $801.92 / $1,026.28	Professional		$623.35	$801.92	$1,026.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.21 / $78.45 / $108.00	Professional	26	$63.21	$78.45	$108.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $555.23 / $721.46 / $935.04	Professional	TC	$555.23	$721.46	$935.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.58 / $611.98 / $1,193.59	Professional		$303.58	$611.98	$1,193.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $57.40 / $111.66	Professional	26	$29.88	$57.40	$111.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.58 / $547.08 / $1,077.53	Professional	TC	$273.58	$547.08	$1,077.53
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $418.52 / $747.27 / $1,089.35	Professional		$418.52	$747.27	$1,089.35
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $40.77 / $73.92 / $106.11	Professional	26	$40.77	$73.92	$106.11
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $377.76 / $572.64 / $990.39	Professional	TC	$377.76	$572.64	$990.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $118.26 / $242.50	Professional		$48.73	$118.26	$242.50
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $57.40 / $57.40 / $57.40	Professional	26	$57.40	$57.40	$57.40
United Facility/Professional Professional Modifier Low / Median / High Price $379.97 / $927.46 / $1,823.28	Professional		$379.97	$927.46	$1,823.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $85.31 / $183.22	Professional	26	$31.72	$85.31	$183.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.45 / $843.23 / $1,657.70	Professional	TC	$263.45	$843.23	$1,657.70