Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $496.98 / $817.88	Facility		$339.76	$496.98	$817.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.54 / $128.80 / $140.91	Facility	26	$58.54	$128.80	$140.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $144.84 / $316.44	Professional		$103.81	$144.84	$316.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $22.32 / $43.80	Professional	26	$11.77	$22.32	$43.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.35 / $119.51 / $206.11	Professional	TC	$84.35	$119.51	$206.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.32 / $728.32 / $856.84	Facility		$728.32	$728.32	$856.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $208.68 / $401.68	Professional		$108.25	$208.68	$401.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $23.36 / $37.94	Professional	26	$15.37	$23.36	$37.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.05 / $176.98 / $378.30	Professional	TC	$94.05	$176.98	$378.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $391.67 / $1,042.85	Facility		$118.39	$391.67	$1,042.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $246.15 / $482.55	Professional		$154.08	$246.15	$482.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $26.20 / $67.05	Professional	26	$17.07	$26.20	$67.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.31 / $186.78 / $436.13	Professional	TC	$126.31	$186.78	$436.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $208.81 / $356.06	Professional		$155.74	$208.81	$356.06
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.67 / $31.50 / $46.03	Professional	26	$18.67	$31.50	$46.03
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $129.65 / $173.84 / $315.83	Professional	TC	$129.65	$173.84	$315.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $231.08 / $236.95	Professional		$29.00	$231.08	$236.95
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $212.80 / $397.69	Professional		$147.91	$212.80	$397.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $30.98 / $66.27	Professional	26	$19.07	$30.98	$66.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.51 / $184.76 / $345.34	Professional	TC	$123.51	$184.76	$345.34