Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.91 / $242.11 / $350.62	Facility	26	$105.91	$242.11	$350.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $418.24 / $1,554.67	Professional		$235.16	$418.24	$1,554.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $105.91 / $218.87	Professional	26	$62.17	$105.91	$218.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $184.81 / $312.32 / $874.28	Professional	TC	$184.81	$312.32	$874.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.64 / $697.59 / $914.51	Professional		$239.64	$697.59	$914.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.38 / $160.28 / $200.04	Professional	26	$77.38	$160.28	$200.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.26 / $525.03 / $732.83	Professional	TC	$162.26	$525.03	$732.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.27 / $483.23 / $850.64	Professional		$322.27	$483.23	$850.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.41 / $101.46 / $183.14	Professional	26	$82.41	$101.46	$183.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.81 / $367.50 / $611.00	Professional	TC	$220.81	$367.50	$611.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $261.51 / $439.47 / $564.25	Professional		$261.51	$439.47	$564.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $73.87 / $86.27 / $158.09	Professional	26	$73.87	$86.27	$158.09
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $169.27 / $210.76 / $360.24	Professional	TC	$169.27	$210.76	$360.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $110.06 / $218.81	Professional		$107.08	$110.06	$218.81
United Facility/Professional Professional Modifier Low / Median / High Price $231.01 / $397.86 / $688.59	Professional		$231.01	$397.86	$688.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.78 / $114.99 / $220.20	Professional	26	$68.78	$114.99	$220.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.05 / $264.45 / $492.75	Professional	TC	$160.05	$264.45	$492.75