Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $281.84 / $457.09	Facility	26	$144.54	$281.84	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $1,445.44	Professional		$380.19	$457.09	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $229.09	Professional	26	$52.48	$67.61	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $380.19 / $851.14	Professional	TC	$323.59	$380.19	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $933.25	Professional		$389.05	$616.60	$933.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $81.28 / $138.04	Professional	26	$48.98	$81.28	$138.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $537.03 / $812.83	Professional	TC	$323.59	$537.03	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,348.96	Professional		$512.86	$933.25	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $117.49 / $181.97	Professional	26	$64.57	$117.49	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $758.58 / $1,174.90	Professional	TC	$446.68	$758.58	$1,174.90
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,047.13	Professional		$524.81	$741.31	$1,047.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $389.05	Professional	26	$67.61	$89.13	$389.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $616.60 / $870.96	Professional	TC	$436.52	$616.60	$870.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,148.15	Professional		$398.11	$630.96	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $97.72 / $162.18	Professional	26	$57.54	$97.72	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $549.54 / $1,000.00	Professional	TC	$346.74	$549.54	$1,000.00