Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $363.08 / $426.58	Facility	26	$77.62	$363.08	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $407.38	Professional		$138.04	$190.55	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $85.11 / $213.80	Professional	26	$56.23	$85.11	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $245.47	Professional	TC	$60.26	$97.72	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $562.34	Professional		$162.18	$346.74	$562.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $117.49 / $173.78	Professional	26	$85.11	$117.49	$173.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $234.42 / $407.38	Professional	TC	$72.44	$234.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $776.25	Professional		$181.97	$363.08	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $109.65 / $213.80	Professional	26	$69.18	$109.65	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $213.80 / $660.69	Professional	TC	$93.33	$213.80	$660.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $691.83	Professional		$229.09	$389.05	$691.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $120.23 / $151.36	Professional	26	$61.66	$120.23	$151.36
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $112.20 / $251.19	Professional	TC	$87.10	$112.20	$251.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $239.88	Professional		$229.09	$229.09	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $562.34	Professional		$151.36	$251.19	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $181.97	Professional	26	$64.57	$104.71	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $112.20 / $269.15	Professional	TC	$67.61	$112.20	$269.15