Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $831.76 / $1,584.89	Facility		$288.40	$831.76	$1,584.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $165.96 / $190.55	Facility	26	$81.28	$165.96	$190.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $426.58 / $724.44 / $933.25	Facility	TC	$426.58	$724.44	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $707.95	Professional		$173.78	$263.03	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $40.74 / $117.49	Professional	26	$30.20	$40.74	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $177.83 / $426.58	Professional	TC	$141.25	$177.83	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,348.96	Facility		$891.25	$1,122.02	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $398.11	Professional		$169.82	$275.42	$398.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $47.86 / $70.79	Professional	26	$28.84	$47.86	$70.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $218.78 / $316.23	Professional	TC	$138.04	$218.78	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $645.65 / $1,348.96	Facility		$147.91	$645.65	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $602.56	Professional		$208.93	$346.74	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $50.12 / $97.72	Professional	26	$35.48	$50.12	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $263.03 / $537.03	Professional	TC	$158.49	$263.03	$537.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $812.83	Professional		$288.40	$407.38	$812.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $60.26 / $138.04	Professional	26	$40.74	$60.26	$138.04
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $380.19	Professional	TC	$181.97	$288.40	$380.19
Health New England Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,096.48	Facility		$660.69	$954.99	$1,096.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $398.11	Professional		$52.48	$70.79	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $524.81	Professional		$186.21	$288.40	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $45.71 / $85.11	Professional	26	$30.90	$45.71	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $245.47 / $436.52	Professional	TC	$151.36	$245.47	$436.52