Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $1,071.52	Professional		$269.15	$426.58	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $295.12 / $812.83	Professional	26	$93.33	$295.12	$812.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $275.42 / $660.69	Professional	TC	$177.83	$275.42	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,047.13	Professional		$489.78	$602.56	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $229.09 / $371.54	Professional	26	$169.82	$229.09	$371.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $371.54 / $630.96	Professional	TC	$295.12	$371.54	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $851.14	Professional		$144.54	$302.00	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $147.91 / $275.42	Professional	26	$67.61	$147.91	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $199.53 / $575.44	Professional	TC	$77.62	$199.53	$575.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $446.68 / $891.25	Professional		$134.90	$446.68	$891.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $239.88 / $389.05	Professional	26	$141.25	$239.88	$389.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $436.52 / $691.83	Professional	TC	$57.54	$436.52	$691.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $380.19	Professional		$229.09	$295.12	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $602.56 / $1,318.26	Professional		$234.42	$602.56	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $229.09 / $446.68	Professional	26	$89.13	$229.09	$446.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $436.52 / $912.01	Professional	TC	$158.49	$436.52	$912.01