Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.06 / $190.22 / $223.85	Facility	26	$52.06	$190.22	$223.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $282.18 / $922.00	Professional		$136.07	$282.18	$922.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $52.06 / $141.40	Professional	26	$36.60	$52.06	$141.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.64 / $135.53 / $373.80	Professional	TC	$99.64	$135.53	$373.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $283.80 / $344.60	Professional		$142.84	$283.80	$344.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.75 / $74.88 / $88.84	Professional	26	$40.75	$74.88	$88.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.09 / $204.87 / $255.75	Professional	TC	$102.09	$204.87	$255.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.92 / $243.83 / $388.99	Professional		$187.92	$243.83	$388.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.61 / $65.80 / $111.08	Professional	26	$53.61	$65.80	$111.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.31 / $177.25 / $305.64	Professional	TC	$134.31	$177.25	$305.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $257.23 / $397.00	Professional		$178.44	$257.23	$397.00
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $51.38 / $159.01 / $175.67	Professional	26	$51.38	$159.01	$175.67
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $127.45 / $200.33 / $221.32	Professional	TC	$127.45	$200.33	$221.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $141.00 / $430.45	Professional		$76.64	$141.00	$430.45
United Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $229.71 / $411.83	Professional		$144.05	$229.71	$411.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.87 / $71.75 / $121.66	Professional	26	$45.87	$71.75	$121.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.37 / $175.58 / $291.26	Professional	TC	$112.37	$175.58	$291.26