Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $288.40 / $331.13	Facility	26	$186.21	$288.40	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $2,137.96	Professional		$338.84	$549.54	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $141.25 / $295.12	Professional	26	$70.79	$141.25	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $891.25	Professional	TC	$257.04	$338.84	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $977.24 / $1,584.89	Professional		$363.08	$977.24	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $158.49 / $223.87	Professional	26	$72.44	$158.49	$223.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $741.31 / $1,348.96	Professional	TC	$288.40	$741.31	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,047.13 / $1,445.44	Professional		$457.09	$1,047.13	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $218.78	Professional	26	$75.86	$117.49	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $870.96 / $1,258.93	Professional	TC	$389.05	$870.96	$1,258.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,148.15 / $1,380.38	Professional		$467.74	$1,148.15	$1,380.38
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $93.33 / $131.83	Professional	26	$79.43	$93.33	$131.83
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $407.38 / $1,047.13	Professional	TC	$316.23	$407.38	$1,047.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $177.83	Professional		$102.33	$125.89	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $1,288.25	Professional		$323.59	$549.54	$1,288.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $199.53	Professional	26	$61.66	$87.10	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $407.38 / $1,023.29	Professional	TC	$257.04	$407.38	$1,023.29