Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $660.91 / $1,181.09	Facility		$273.45	$660.91	$1,181.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.89 / $154.37 / $229.20	Facility	26	$54.89	$154.37	$229.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $273.45 / $703.06	Professional		$182.40	$273.45	$703.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $54.89 / $141.59	Professional	26	$30.82	$54.89	$141.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $218.57 / $367.01	Professional	TC	$151.80	$218.57	$367.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $274.83 / $362.35	Professional		$163.16	$274.83	$362.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $52.08 / $68.09	Professional	26	$32.79	$52.08	$68.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.36 / $224.26 / $298.83	Professional	TC	$130.36	$224.26	$298.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.49 / $595.92 / $997.13	Facility		$217.49	$595.92	$997.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.56 / $324.47 / $588.36	Professional		$219.56	$324.47	$588.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.07 / $50.84 / $113.75	Professional	26	$40.07	$50.84	$113.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.16 / $255.68 / $475.28	Professional	TC	$160.16	$255.68	$475.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $210.88 / $310.87 / $361.21	Professional		$210.88	$310.87	$361.21
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $39.46 / $51.78 / $69.75	Professional	26	$39.46	$51.78	$69.75
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $167.04 / $247.91 / $285.92	Professional	TC	$167.04	$247.91	$285.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $116.11 / $371.63	Professional		$58.69	$116.11	$371.63
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $295.56 / $541.65	Professional		$192.00	$295.56	$541.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.70 / $58.45 / $108.80	Professional	26	$36.70	$58.45	$108.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.58 / $248.41 / $450.74	Professional	TC	$151.58	$248.41	$450.74