Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.06 / $325.16 / $452.13	Facility	26	$81.06	$325.16	$452.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $479.20 / $1,383.99	Professional		$382.41	$479.20	$1,383.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.15 / $65.31 / $123.74	Professional	26	$52.15	$65.31	$123.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.99 / $386.31 / $718.15	Professional	TC	$331.99	$386.31	$718.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.63 / $575.57 / $929.50	Professional		$389.63	$575.57	$929.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.02 / $79.14 / $131.81	Professional	26	$49.02	$79.14	$131.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.30 / $503.82 / $797.69	Professional	TC	$316.30	$503.82	$797.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.46 / $941.76 / $1,342.27	Professional		$527.46	$941.76	$1,342.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.02 / $116.92 / $177.29	Professional	26	$70.02	$116.92	$177.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $453.44 / $824.84 / $1,175.63	Professional	TC	$453.44	$824.84	$1,175.63
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $516.30 / $738.08 / $1,243.16	Professional		$516.30	$738.08	$1,243.16
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $63.78 / $115.60 / $415.50	Professional	26	$63.78	$115.60	$415.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $451.57 / $547.29 / $762.73	Professional	TC	$451.57	$547.29	$762.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $88.03 / $98.94	Professional		$81.88	$88.03	$98.94
United Facility/Professional Professional Modifier Low / Median / High Price $419.97 / $729.71 / $1,255.24	Professional		$419.97	$729.71	$1,255.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.43 / $104.38 / $178.15	Professional	26	$57.43	$104.38	$178.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $361.98 / $672.71 / $1,159.31	Professional	TC	$361.98	$672.71	$1,159.31