Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $424.94 / $424.94 / $721.91	Facility	26	$424.94	$424.94	$721.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.84 / $1,444.27 / $2,193.79	Professional		$1,068.84	$1,444.27	$2,193.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $289.42 / $414.65 / $615.92	Professional	26	$289.42	$414.65	$615.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $779.44 / $1,019.34 / $1,577.86	Professional	TC	$779.44	$1,019.34	$1,577.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.85 / $2,343.25 / $2,708.47	Professional		$957.85	$2,343.25	$2,708.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $287.55 / $674.06 / $764.01	Professional	26	$287.55	$674.06	$764.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $673.36 / $1,669.18 / $1,944.36	Professional	TC	$673.36	$1,669.18	$1,944.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.31 / $1,667.36 / $3,066.36	Professional		$1,288.31	$1,667.36	$3,066.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $348.71 / $469.02 / $820.50	Professional	26	$348.71	$469.02	$820.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $957.83 / $1,198.33 / $2,273.94	Professional	TC	$957.83	$1,198.33	$2,273.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,383.83 / $1,383.83 / $1,666.71	Professional		$1,383.83	$1,383.83	$1,666.71
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $394.43 / $394.43 / $474.22	Professional	26	$394.43	$394.43	$474.22
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $989.41 / $989.41 / $1,192.49	Professional	TC	$989.41	$989.41	$1,192.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $612.39 / $1,089.00 / $1,231.50	Professional		$612.39	$1,089.00	$1,231.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,203.78 / $1,688.33 / $3,737.74	Professional		$1,203.78	$1,688.33	$3,737.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $326.14 / $480.28 / $1,012.70	Professional	26	$326.14	$480.28	$1,012.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $877.63 / $1,184.80 / $2,725.04	Professional	TC	$877.63	$1,184.80	$2,725.04