Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $602.56 / $977.24	Facility	26	$309.03	$602.56	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $2,398.83	Professional		$588.84	$776.25	$2,398.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $165.96 / $489.78	Professional	26	$114.82	$165.96	$489.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $257.04 / $371.54 / $1,258.93	Professional	52	$257.04	$371.54	$1,258.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $588.84 / $1,621.81	Professional	TC	$467.74	$588.84	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $933.25 / $1,479.11	Professional		$457.09	$933.25	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $173.78 / $288.40	Professional	26	$81.28	$173.78	$288.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $776.25 / $1,230.27	Professional	TC	$371.54	$776.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,089.30	Professional		$776.25	$1,122.02	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $234.42 / $389.05	Professional	26	$138.04	$234.42	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $933.25 / $1,698.24	Professional	TC	$630.96	$933.25	$1,698.24
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $1,995.26	Professional		$602.56	$1,174.90	$1,995.26
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $190.55 / $831.76	Professional	26	$144.54	$190.55	$831.76
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $912.01 / $1,202.26	Professional	TC	$602.56	$912.01	$1,202.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $354.81	Professional		$190.55	$223.87	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,737.80	Professional		$602.56	$1,023.29	$1,737.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $208.93 / $331.13	Professional	26	$123.03	$208.93	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $851.14 / $1,445.44	Professional	TC	$512.86	$851.14	$1,445.44