Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.89 / $667.24 / $935.93	Facility	26	$166.89	$667.24	$935.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $854.91 / $3,673.00	Professional		$570.54	$854.91	$3,673.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.17 / $151.69 / $642.25	Professional	26	$110.17	$151.69	$642.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $277.07 / $320.01 / $642.27	Professional	52	$277.07	$320.01	$642.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $451.82 / $696.42 / $2,840.00	Professional	TC	$451.82	$696.42	$2,840.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.42 / $829.27 / $1,401.23	Professional		$481.42	$829.27	$1,401.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.03 / $148.18 / $256.92	Professional	26	$87.03	$148.18	$256.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $394.39 / $681.08 / $1,144.29	Professional	TC	$394.39	$681.08	$1,144.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.99 / $1,032.21 / $1,916.75	Professional		$772.99	$1,032.21	$1,916.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.52 / $216.25 / $361.86	Professional	26	$144.52	$216.25	$361.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $609.85 / $836.27 / $1,546.84	Professional	TC	$609.85	$836.27	$1,546.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $884.17 / $1,427.00	Professional		$510.00	$884.17	$1,427.00
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $131.68 / $238.87 / $834.21	Professional	26	$131.68	$238.87	$834.21
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $604.60 / $736.87 / $1,019.40	Professional	TC	$604.60	$736.87	$1,019.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $320.70 / $320.70	Professional		$181.83	$320.70	$320.70
United Facility/Professional Professional Modifier Low / Median / High Price $581.71 / $952.76 / $1,819.02	Professional		$581.71	$952.76	$1,819.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.85 / $202.96 / $339.16	Professional	26	$117.85	$202.96	$339.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $495.60 / $811.82 / $1,484.79	Professional	TC	$495.60	$811.82	$1,484.79