Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $379.87 / $494.91	Facility	26	$166.95	$379.87	$494.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.11 / $600.00 / $3,411.88	Professional		$421.11	$600.00	$3,411.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $166.95 / $439.23	Professional	26	$111.15	$166.95	$439.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.83 / $433.05 / $1,461.00	Professional	TC	$304.83	$433.05	$1,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $1,195.32 / $1,668.43	Professional		$347.28	$1,195.32	$1,668.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.31 / $258.63 / $321.11	Professional	26	$110.31	$258.63	$321.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $236.96 / $909.23 / $1,369.14	Professional	TC	$236.96	$909.23	$1,369.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.11 / $1,196.52 / $1,873.78	Professional		$466.11	$1,196.52	$1,873.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.36 / $154.38 / $285.42	Professional	26	$123.36	$154.38	$285.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.02 / $900.64 / $1,646.64	Professional	TC	$321.02	$900.64	$1,646.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $395.25 / $933.90 / $1,604.11	Professional		$395.25	$933.90	$1,604.11
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $119.54 / $123.76 / $225.79	Professional	26	$119.54	$123.76	$225.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $246.10 / $306.43 / $685.81	Professional	TC	$246.10	$306.43	$685.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $216.94 / $325.01	Professional		$156.81	$216.94	$325.01
United Facility/Professional Professional Modifier Low / Median / High Price $367.11 / $683.85 / $1,466.39	Professional		$367.11	$683.85	$1,466.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.07 / $175.94 / $368.48	Professional	26	$103.07	$175.94	$368.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $454.90 / $887.03	Professional	TC	$255.52	$454.90	$887.03