Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.11 / $142.76 / $325.04	Facility	26	$80.11	$142.76	$325.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.55 / $425.02 / $1,275.40	Professional		$319.55	$425.02	$1,275.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $73.58 / $275.58	Professional	26	$50.55	$73.58	$275.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $273.83 / $368.11 / $738.54	Professional	TC	$273.83	$368.11	$738.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.21 / $553.57 / $777.83	Professional		$364.21	$553.57	$777.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $71.69 / $109.39	Professional	26	$49.03	$71.69	$109.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $311.98 / $485.17 / $667.79	Professional	TC	$311.98	$485.17	$667.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.57 / $587.97 / $1,359.79	Professional		$198.57	$587.97	$1,359.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.81 / $88.66 / $166.43	Professional	26	$69.81	$88.66	$166.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.15 / $514.85 / $1,196.29	Professional	TC	$127.15	$514.85	$1,196.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $352.34 / $432.12 / $903.76	Professional		$352.34	$432.12	$903.76
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $63.25 / $73.98 / $113.84	Professional	26	$63.25	$73.98	$113.84
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $351.61 / $563.51 / $789.92	Professional	TC	$351.61	$563.51	$789.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $115.56 / $118.26	Professional		$89.73	$115.56	$118.26
United Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $680.05 / $1,335.17	Professional		$307.58	$680.05	$1,335.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $87.77 / $168.25	Professional	26	$55.81	$87.77	$168.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.18 / $553.21 / $1,175.49	Professional	TC	$179.18	$553.21	$1,175.49