Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,000.00	Professional		$323.59	$602.56	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $302.00 / $512.86	Professional	26	$93.33	$302.00	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $380.19 / $758.58	Professional	TC	$169.82	$380.19	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $933.25 / $1,288.25	Professional		$501.19	$933.25	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $275.42 / $489.78	Professional	26	$213.80	$275.42	$489.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $676.08 / $851.14	Professional	TC	$269.15	$676.08	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $741.31	Professional		$549.54	$707.95	$741.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $331.13 / $354.81	Professional	26	$245.47	$331.13	$354.81
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $380.19 / $389.05	Professional	TC	$295.12	$380.19	$389.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $630.96 / $1,230.27	Professional		$218.78	$630.96	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $257.04 / $630.96	Professional	26	$107.15	$257.04	$630.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $338.84 / $575.44	Professional	TC	$100.00	$338.84	$575.44