Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.35 / $261.08 / $352.63	Facility	26	$84.35	$261.08	$352.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $641.66 / $2,693.00	Professional		$433.43	$641.66	$2,693.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $94.57 / $417.00	Professional	26	$73.06	$94.57	$417.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $333.18 / $461.50 / $1,151.25	Professional	TC	$333.18	$461.50	$1,151.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.93 / $677.44 / $790.57	Professional		$460.93	$677.44	$790.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.97 / $106.11 / $120.27	Professional	26	$75.97	$106.11	$120.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $384.69 / $574.38 / $670.30	Professional	TC	$384.69	$574.38	$670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.42 / $677.50 / $1,104.59	Professional		$554.42	$677.50	$1,104.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.72 / $108.69 / $164.23	Professional	26	$91.72	$108.69	$164.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $453.39 / $578.96 / $931.31	Professional	TC	$453.39	$578.96	$931.31
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $474.07 / $492.84 / $1,374.70	Professional		$474.07	$492.84	$1,374.70
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $71.45 / $74.28 / $84.59	Professional	26	$71.45	$74.28	$84.59
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $402.62 / $410.07 / $418.57	Professional	TC	$402.62	$410.07	$418.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $216.14 / $1,218.75	Professional		$108.60	$216.14	$1,218.75
United Facility/Professional Professional Modifier Low / Median / High Price $481.01 / $738.40 / $1,347.93	Professional		$481.01	$738.40	$1,347.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.97 / $115.04 / $221.10	Professional	26	$73.97	$115.04	$221.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $404.49 / $710.24 / $1,219.09	Professional	TC	$404.49	$710.24	$1,219.09