Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $407.38 / $478.63	Facility	26	$186.21	$407.38	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $537.03 / $2,951.21	Professional		$239.88	$537.03	$2,951.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $165.96 / $363.08	Professional	26	$102.33	$165.96	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $363.08 / $1,071.52	Professional	TC	$281.84	$363.08	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,122.02 / $1,584.89	Professional		$416.87	$1,122.02	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $208.93 / $275.42	Professional	26	$100.00	$208.93	$275.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $812.83 / $1,318.26	Professional	TC	$316.23	$812.83	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,148.15 / $1,659.59	Professional		$467.74	$1,148.15	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $151.36 / $302.00	Professional	26	$95.50	$151.36	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $912.01 / $1,288.25	Professional	TC	$354.81	$912.01	$1,288.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,584.89	Professional		$549.54	$1,000.00	$1,584.89
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $134.90 / $162.18	Professional	26	$109.65	$134.90	$162.18
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $446.68 / $812.83	Professional	TC	$338.84	$446.68	$812.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $208.93	Professional		$144.54	$165.96	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $1,445.44	Professional		$389.05	$660.69	$1,445.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $295.12	Professional	26	$89.13	$125.89	$295.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $501.19 / $1,174.90	Professional	TC	$295.12	$501.19	$1,174.90