Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.38 / $216.11 / $490.47	Facility	26	$120.38	$216.11	$490.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.18 / $435.74 / $989.84	Professional		$339.18	$435.74	$989.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $99.07 / $435.76	Professional	26	$79.09	$99.07	$435.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.63 / $342.78 / $699.15	Professional	TC	$252.63	$342.78	$699.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.30 / $571.19 / $831.67	Professional		$362.30	$571.19	$831.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.45 / $108.16 / $160.50	Professional	26	$72.45	$108.16	$160.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.97 / $455.59 / $680.14	Professional	TC	$288.97	$455.59	$680.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.70 / $597.37 / $1,298.78	Professional		$327.70	$597.37	$1,298.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.58 / $141.76 / $251.14	Professional	26	$105.58	$141.76	$251.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.32 / $465.56 / $1,054.42	Professional	TC	$215.32	$465.56	$1,054.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $450.39 / $623.47 / $889.59	Professional		$450.39	$623.47	$889.59
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $95.65 / $111.86 / $172.12	Professional	26	$95.65	$111.86	$172.12
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $348.08 / $511.61 / $717.47	Professional	TC	$348.08	$511.61	$717.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $175.07 / $175.07	Professional		$166.50	$175.07	$175.07
United Facility/Professional Professional Modifier Low / Median / High Price $357.30 / $639.63 / $1,285.91	Professional		$357.30	$639.63	$1,285.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.80 / $132.97 / $253.89	Professional	26	$89.80	$132.97	$253.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.52 / $502.17 / $1,043.95	Professional	TC	$258.52	$502.17	$1,043.95