Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $271.29 / $353.83	Facility	26	$166.95	$271.29	$353.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $600.00 / $2,290.00	Professional		$370.50	$600.00	$2,290.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.10 / $166.95 / $268.72	Professional	26	$108.10	$166.95	$268.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.75 / $433.05 / $931.29	Professional	TC	$302.75	$433.05	$931.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.57 / $997.20 / $1,302.43	Professional		$342.57	$997.20	$1,302.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.19 / $181.96 / $224.31	Professional	26	$77.19	$181.96	$224.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.47 / $785.35 / $1,096.19	Professional	TC	$264.47	$785.35	$1,096.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $755.51 / $1,179.64	Professional		$456.00	$755.51	$1,179.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.12 / $107.51 / $203.83	Professional	26	$71.12	$107.51	$203.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $357.79 / $657.93 / $962.21	Professional	TC	$357.79	$657.93	$962.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $399.82 / $709.07 / $1,214.96	Professional		$399.82	$709.07	$1,214.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $83.63 / $87.07 / $159.46	Professional	26	$83.63	$87.07	$159.46
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $274.24 / $341.50 / $583.54	Professional	TC	$274.24	$341.50	$583.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $148.07 / $175.76	Professional		$122.50	$148.07	$175.76
United Facility/Professional Professional Modifier Low / Median / High Price $365.33 / $599.60 / $1,161.55	Professional		$365.33	$599.60	$1,161.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.45 / $117.88 / $261.62	Professional	26	$73.45	$117.88	$261.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $287.77 / $492.71 / $900.44	Professional	TC	$287.77	$492.71	$900.44