Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $242.81 / $656.82	Professional		$129.75	$242.81	$656.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.08 / $85.33 / $213.50	Professional	26	$46.08	$85.33	$213.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.67 / $177.84 / $275.74	Professional	TC	$83.67	$177.84	$275.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $355.66 / $491.35	Professional		$198.42	$355.66	$491.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.44 / $119.76 / $194.48	Professional	26	$89.44	$119.76	$194.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.80 / $249.72 / $360.69	Professional	TC	$204.80	$249.72	$360.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $125.93 / $125.93	Facility		$125.93	$125.93	$125.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $198.10 / $591.48	Professional		$103.38	$198.10	$591.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.37 / $96.11 / $167.81	Professional	26	$42.37	$96.11	$167.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.00 / $138.96 / $418.05	Professional	TC	$56.00	$138.96	$418.05
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $278.77 / $613.10	Professional		$126.77	$278.77	$613.10
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $68.88 / $140.94 / $218.45	Professional	26	$68.88	$140.94	$218.45
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $156.16 / $318.06 / $433.53	Professional	TC	$156.16	$318.06	$433.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $326.32 / $956.26	Professional		$156.66	$326.32	$956.26
United Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $414.87 / $877.08	Professional		$154.22	$414.87	$877.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.08 / $149.54 / $237.31	Professional	26	$54.08	$149.54	$237.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.34 / $378.67 / $642.23	Professional	TC	$126.34	$378.67	$642.23