Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.16 / $412.54 / $666.41	Facility	26	$140.16	$412.54	$666.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $656.35 / $1,334.20	Professional		$393.25	$656.35	$1,334.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $164.03 / $435.00	Professional	26	$90.71	$164.03	$435.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $293.43 / $516.19 / $815.01	Professional	TC	$293.43	$516.19	$815.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.52 / $634.50 / $793.38	Professional		$433.52	$634.50	$793.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.51 / $155.87 / $182.83	Professional	26	$96.51	$155.87	$182.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $325.92 / $482.05 / $616.09	Professional	TC	$325.92	$482.05	$616.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.38 / $618.38 / $1,075.03	Professional		$516.38	$618.38	$1,075.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.24 / $139.65 / $248.43	Professional	26	$122.24	$139.65	$248.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $400.27 / $479.67 / $826.60	Professional	TC	$400.27	$479.67	$826.60
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $403.01 / $555.49 / $583.25	Professional		$403.01	$555.49	$583.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $90.62 / $94.21 / $120.88	Professional	26	$90.62	$94.21	$120.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $312.39 / $324.77 / $350.81	Professional	TC	$312.39	$324.77	$350.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $325.10 / $325.10 / $1,179.00	Professional		$325.10	$325.10	$1,179.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.84 / $618.79 / $1,082.27	Professional		$366.84	$618.79	$1,082.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.72 / $152.43 / $242.66	Professional	26	$101.72	$152.43	$242.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $312.98 / $512.00 / $835.45	Professional	TC	$312.98	$512.00	$835.45