Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $229.09 / $281.84	Facility	26	$102.33	$229.09	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $616.60	Professional		$186.21	$281.84	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $131.83	Professional	26	$51.29	$64.57	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $213.80 / $398.11	Professional	TC	$131.83	$213.80	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $562.34 / $891.25	Professional		$229.09	$562.34	$891.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $120.23 / $158.49	Professional	26	$58.88	$120.23	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $389.05 / $724.44	Professional	TC	$173.78	$389.05	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $524.81 / $758.58	Professional		$269.15	$524.81	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $177.83	Professional	26	$60.26	$89.13	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $416.87 / $602.56	Professional	TC	$194.98	$416.87	$602.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $602.56	Professional		$281.84	$501.19	$602.56
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $95.50	Professional	26	$64.57	$79.43	$95.50
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $218.78 / $426.58	Professional	TC	$165.96	$218.78	$426.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $616.60	Professional		$199.53	$338.84	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $72.44 / $151.36	Professional	26	$52.48	$72.44	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $457.09	Professional	TC	$144.54	$245.47	$457.09