Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.60 / $206.85 / $271.33	Facility	26	$92.60	$206.85	$271.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.90 / $406.55 / $599.21	Professional		$214.90	$406.55	$599.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.09 / $92.60 / $128.35	Professional	26	$47.09	$92.60	$128.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $167.82 / $313.95 / $452.11	Professional	TC	$167.82	$313.95	$452.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.08 / $653.29 / $911.88	Professional		$225.08	$653.29	$911.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.22 / $140.91 / $173.97	Professional	26	$60.22	$140.91	$173.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $164.32 / $538.86 / $752.14	Professional	TC	$164.32	$538.86	$752.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.38 / $521.19 / $785.43	Professional		$288.38	$521.19	$785.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.20 / $83.92 / $157.50	Professional	26	$68.20	$83.92	$157.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.89 / $442.29 / $596.40	Professional	TC	$208.89	$442.29	$596.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $233.48 / $486.98 / $607.73	Professional		$233.48	$486.98	$607.73
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $67.68 / $123.88	Professional	26	$64.87	$67.68	$123.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $160.13 / $199.39 / $360.35	Professional	TC	$160.13	$199.39	$360.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $152.07	Professional		$152.07	$152.07	$152.07
United Facility/Professional Professional Modifier Low / Median / High Price $229.66 / $376.17 / $683.48	Professional		$229.66	$376.17	$683.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $90.44 / $169.98	Professional	26	$54.91	$90.44	$169.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.09 / $280.61 / $508.83	Professional	TC	$159.09	$280.61	$508.83