Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.70 / $205.53 / $266.30	Facility	26	$61.70	$205.53	$266.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $189.26 / $670.00	Professional		$132.32	$189.26	$670.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.05 / $62.93 / $162.16	Professional	26	$43.05	$62.93	$162.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.27 / $122.33 / $272.68	Professional	TC	$89.27	$122.33	$272.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $339.41 / $424.17	Professional		$136.62	$339.41	$424.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.30 / $105.46 / $147.21	Professional	26	$43.30	$105.46	$147.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.93 / $233.43 / $284.63	Professional	TC	$90.93	$233.43	$284.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $267.00 / $452.52	Professional		$166.49	$267.00	$452.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.74 / $69.72 / $138.41	Professional	26	$50.74	$69.72	$138.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.76 / $206.36 / $312.27	Professional	TC	$116.76	$206.36	$312.27
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $205.64 / $545.13	Professional		$157.71	$205.64	$545.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $69.13 / $98.25	Professional	26	$48.58	$69.13	$98.25
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $109.12 / $155.99 / $295.87	Professional	TC	$109.12	$155.99	$295.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $74.51 / $74.51	Professional		$74.51	$74.51	$74.51
United Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $231.86 / $483.59	Professional		$144.00	$231.86	$483.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.18 / $65.63 / $146.85	Professional	26	$46.18	$65.63	$146.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.81 / $152.81 / $338.09	Professional	TC	$97.81	$152.81	$338.09