Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.68 / $692.32 / $970.88	Facility	26	$173.68	$692.32	$970.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.58 / $923.68 / $3,153.00	Professional		$595.58	$923.68	$3,153.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.29 / $148.22 / $594.74	Professional	26	$114.29	$148.22	$594.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $292.14 / $336.16 / $495.64	Professional	52	$292.14	$336.16	$495.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $476.14 / $694.51 / $2,343.39	Professional	TC	$476.14	$694.51	$2,343.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.66 / $867.00 / $1,494.06	Professional		$502.66	$867.00	$1,494.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.15 / $154.19 / $267.72	Professional	26	$90.15	$154.19	$267.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $412.51 / $712.81 / $1,226.33	Professional	TC	$412.51	$712.81	$1,226.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.97 / $1,125.30 / $2,009.75	Professional		$811.97	$1,125.30	$2,009.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $150.62 / $232.69 / $375.38	Professional	26	$150.62	$232.69	$375.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $638.26 / $892.60 / $1,632.29	Professional	TC	$638.26	$892.60	$1,632.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $926.35 / $1,565.00	Professional		$600.00	$926.35	$1,565.00
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $137.49 / $248.92 / $893.36	Professional	26	$137.49	$248.92	$893.36
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $633.72 / $800.86 / $1,068.68	Professional	TC	$633.72	$800.86	$1,068.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $184.75 / $193.97 / $345.29	Professional		$184.75	$193.97	$345.29
United Facility/Professional Professional Modifier Low / Median / High Price $647.77 / $1,123.78 / $2,055.46	Professional		$647.77	$1,123.78	$2,055.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $122.27 / $213.00 / $363.02	Professional	26	$122.27	$213.00	$363.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $520.51 / $900.70 / $1,556.50	Professional	TC	$520.51	$900.70	$1,556.50