Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $355.27 / $464.31	Facility	26	$166.95	$355.27	$464.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.30 / $600.00 / $3,187.60	Professional		$338.30	$600.00	$3,187.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.95 / $166.95 / $439.23	Professional	26	$112.95	$166.95	$439.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $2,255.00	Professional	TC	$335.00	$433.05	$2,255.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.58 / $1,302.89 / $1,647.36	Professional		$447.58	$1,302.89	$1,647.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.45 / $238.48 / $294.39	Professional	26	$103.45	$238.48	$294.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.31 / $1,001.77 / $1,377.04	Professional	TC	$346.31	$1,001.77	$1,377.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.97 / $1,200.08 / $1,830.96	Professional		$596.97	$1,200.08	$1,830.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.63 / $141.97 / $267.83	Professional	26	$97.63	$141.97	$267.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $465.46 / $1,049.40 / $1,654.09	Professional	TC	$465.46	$1,049.40	$1,654.09
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $524.20 / $991.68 / $1,665.31	Professional		$524.20	$991.68	$1,665.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $109.60 / $116.13 / $211.93	Professional	26	$109.60	$116.13	$211.93
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $356.77 / $444.28 / $759.22	Professional	TC	$356.77	$444.28	$759.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $165.08 / $225.80	Professional		$143.09	$165.08	$225.80
United Facility/Professional Professional Modifier Low / Median / High Price $481.37 / $859.09 / $1,521.30	Professional		$481.37	$859.09	$1,521.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.54 / $153.60 / $345.72	Professional	26	$96.54	$153.60	$345.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $376.78 / $663.86 / $1,176.56	Professional	TC	$376.78	$663.86	$1,176.56