Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $245.42 / $317.31	Facility	26	$166.95	$245.42	$317.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $600.00 / $1,934.06	Professional		$425.00	$600.00	$1,934.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.27 / $145.65 / $232.15	Professional	26	$97.27	$145.65	$232.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.37 / $370.63 / $931.29	Professional	TC	$281.37	$370.63	$931.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.14 / $838.89 / $1,056.70	Professional		$284.14	$838.89	$1,056.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.54 / $162.61 / $200.74	Professional	26	$69.54	$162.61	$200.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $214.61 / $632.49 / $872.39	Professional	TC	$214.61	$632.49	$872.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.22 / $660.44 / $961.29	Professional		$383.22	$660.44	$961.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.29 / $97.31 / $183.45	Professional	26	$79.29	$97.31	$183.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.70 / $560.71 / $786.45	Professional	TC	$292.70	$560.71	$786.45
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $311.06 / $589.94 / $748.51	Professional		$311.06	$589.94	$748.51
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.88 / $78.70 / $144.08	Professional	26	$74.88	$78.70	$144.08
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $224.43 / $279.41 / $477.78	Professional	TC	$224.43	$279.41	$477.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $135.78 / $142.59	Professional		$59.54	$135.78	$142.59
United Facility/Professional Professional Modifier Low / Median / High Price $299.37 / $536.57 / $980.03	Professional		$299.37	$536.57	$980.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.76 / $104.45 / $236.47	Professional	26	$61.76	$104.45	$236.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.99 / $414.08 / $743.56	Professional	TC	$236.99	$414.08	$743.56