Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.91 / $631.32 / $873.92	Professional		$324.91	$631.32	$873.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.62 / $181.85 / $256.06	Professional	26	$91.62	$181.85	$256.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.29 / $426.48 / $650.52	Professional	TC	$233.29	$426.48	$650.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $924.58 / $1,500.72	Professional		$420.09	$924.58	$1,500.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $193.58 / $276.17 / $485.39	Professional	26	$193.58	$276.17	$485.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.50 / $673.03 / $1,075.50	Professional	TC	$226.50	$673.03	$1,075.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $326.16	Professional		$326.16	$326.16	$326.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $153.56	Professional	26	$153.56	$153.56	$153.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $172.60	Professional	TC	$172.60	$172.60	$172.60
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $443.42 / $702.53 / $1,017.07	Professional		$443.42	$702.53	$1,017.07
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $204.56 / $324.10 / $458.73	Professional	26	$204.56	$324.10	$458.73
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $238.87 / $378.45 / $558.34	Professional	TC	$238.87	$378.45	$558.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $174.25 / $175.73	Professional		$174.25	$174.25	$175.73
United Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $634.41 / $1,077.31	Professional		$347.90	$634.41	$1,077.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.22 / $262.95 / $635.41	Professional	26	$105.22	$262.95	$635.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.40 / $324.80 / $571.34	Professional	TC	$99.40	$324.80	$571.34