Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $478.63 / $676.08	Facility	26	$186.21	$478.63	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $2,691.53	Professional		$371.54	$602.56	$2,691.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $194.98 / $575.44	Professional	26	$117.49	$194.98	$575.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $794.33	Professional	TC	$251.19	$338.84	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $954.99 / $1,412.54	Professional		$389.05	$954.99	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $245.47 / $331.13	Professional	26	$120.23	$245.47	$331.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $676.08 / $1,071.52	Professional	TC	$269.15	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $912.01 / $1,318.26	Professional		$436.52	$912.01	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $181.97 / $354.81	Professional	26	$125.89	$181.97	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $707.95 / $1,023.29	Professional	TC	$302.00	$707.95	$1,023.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,047.13	Professional		$524.81	$812.83	$1,047.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $162.18 / $194.98	Professional	26	$134.90	$162.18	$194.98
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $380.19 / $645.65	Professional	TC	$295.12	$380.19	$645.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $269.15	Professional		$169.82	$190.55	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,258.93	Professional		$363.08	$602.56	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $151.36 / $354.81	Professional	26	$109.65	$151.36	$354.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $426.58 / $933.25	Professional	TC	$251.19	$426.58	$933.25