Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.08 / $795.77 / $1,460.40	Facility		$286.08	$795.77	$1,460.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.20 / $152.99 / $224.41	Facility	26	$54.20	$152.99	$224.41
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $136.30 / $690.61 / $1,373.43	Facility	TC	$136.30	$690.61	$1,373.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.49 / $343.09 / $1,031.09	Professional		$178.49	$343.09	$1,031.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.01 / $50.85 / $142.38	Professional	26	$27.01	$50.85	$142.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.63 / $246.35 / $479.39	Professional	TC	$151.63	$246.35	$479.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.49 / $1,206.94 / $1,556.33	Facility		$940.49	$1,206.94	$1,556.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $295.43 / $403.76	Professional		$216.90	$295.43	$403.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $46.26 / $64.08	Professional	26	$32.31	$46.26	$64.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $184.59 / $249.16 / $340.76	Professional	TC	$184.59	$249.16	$340.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.49 / $752.67 / $1,444.90	Facility		$217.49	$752.67	$1,444.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.51 / $424.76 / $763.50	Professional		$251.51	$424.76	$763.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.08 / $51.65 / $112.36	Professional	26	$38.08	$51.65	$112.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.20 / $380.73 / $675.86	Professional	TC	$206.20	$380.73	$675.86
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $277.49 / $406.85 / $473.36	Professional		$277.49	$406.85	$473.36
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $34.20 / $46.33 / $61.50	Professional	26	$34.20	$46.33	$61.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $235.57 / $349.56 / $403.16	Professional	TC	$235.57	$349.56	$403.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $75.69 / $437.03	Professional		$54.07	$75.69	$437.03
United Facility/Professional Professional Modifier Low / Median / High Price $256.97 / $397.96 / $762.90	Professional		$256.97	$397.96	$762.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $58.71 / $112.33	Professional	26	$34.22	$58.71	$112.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.70 / $344.17 / $623.95	Professional	TC	$218.70	$344.17	$623.95