Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.10 / $389.57 / $517.97	Facility	26	$176.10	$389.57	$517.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $346.09 / $472.48	Professional		$187.27	$346.09	$472.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.60 / $173.54 / $228.40	Professional	26	$89.60	$173.54	$228.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $169.99 / $232.23	Professional	TC	$97.67	$169.99	$232.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $638.12 / $789.89	Professional		$219.60	$638.12	$789.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.24 / $211.90 / $295.77	Professional	26	$112.24	$211.90	$295.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.80 / $423.41 / $494.11	Professional	TC	$105.80	$423.41	$494.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $626.95 / $1,410.32	Professional		$480.00	$626.95	$1,410.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.81 / $154.62 / $290.89	Professional	26	$120.81	$154.62	$290.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $349.09 / $461.01 / $1,063.48	Professional	TC	$349.09	$461.01	$1,063.48
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $525.03 / $670.72	Professional		$258.95	$525.03	$670.72
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $107.36 / $129.43 / $236.32	Professional	26	$107.36	$129.43	$236.32
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $125.11 / $155.85 / $420.04	Professional	TC	$125.11	$155.85	$420.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $168.50 / $352.19	Professional		$159.19	$168.50	$352.19
United Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $692.24 / $1,426.23	Professional		$408.26	$692.24	$1,426.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.38 / $178.53 / $351.29	Professional	26	$103.38	$178.53	$351.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $308.45 / $527.77 / $1,096.32	Professional	TC	$308.45	$527.77	$1,096.32