Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $119.93 / $350.07	Professional		$80.98	$119.93	$350.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.71 / $58.07 / $217.17	Professional	26	$39.71	$58.07	$217.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.27 / $61.86 / $151.49	Professional	TC	$41.27	$61.86	$151.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $210.61 / $283.83	Professional		$182.83	$210.61	$283.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.12 / $97.36 / $117.54	Professional	26	$76.12	$97.36	$117.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.65 / $114.19 / $166.42	Professional	TC	$93.65	$114.19	$166.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $87.63 / $87.63	Facility		$87.63	$87.63	$87.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $142.83 / $326.97	Professional		$75.98	$142.83	$326.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $76.06 / $142.81	Professional	26	$36.11	$76.06	$142.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.70 / $60.21 / $187.84	Professional	TC	$34.70	$60.21	$187.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $179.69 / $329.25	Professional		$108.46	$179.69	$329.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $48.77 / $97.15 / $126.94	Professional	26	$48.77	$97.15	$126.94
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $110.71 / $206.23	Professional	TC	$25.52	$110.71	$206.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $223.36 / $574.11	Professional		$117.39	$223.36	$574.11
United Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $246.58 / $482.50	Professional		$100.29	$246.58	$482.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.18 / $119.44 / $200.07	Professional	26	$46.18	$119.44	$200.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.02 / $145.29 / $285.63	Professional	TC	$51.02	$145.29	$285.63