Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.59 / $42.29 / $53.66	Facility	26	$13.59	$42.29	$53.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $42.02 / $185.00	Professional		$29.67	$42.02	$185.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $13.59 / $40.99	Professional	26	$9.49	$13.59	$40.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $29.72 / $89.44	Professional	TC	$20.23	$29.72	$89.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $62.09 / $74.39	Professional		$38.97	$62.09	$74.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $17.32 / $22.31	Professional	26	$11.69	$17.32	$22.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $43.94 / $52.63	Professional	TC	$25.87	$43.94	$52.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $62.37 / $104.44	Professional		$43.84	$62.37	$104.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $16.44 / $27.92	Professional	26	$13.33	$16.44	$27.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $44.54 / $75.81	Professional	TC	$29.56	$44.54	$75.81
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $47.24 / $61.27	Professional		$40.06	$47.24	$61.27
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $13.70 / $25.06	Professional	26	$11.25	$13.70	$25.06
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $27.57 / $36.17 / $64.00	Professional	TC	$27.57	$36.17	$64.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $19.29 / $70.39	Professional		$16.57	$19.29	$70.39
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $60.13 / $93.89	Professional		$36.67	$60.13	$93.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $17.93 / $27.35	Professional	26	$11.07	$17.93	$27.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $43.33 / $66.54	Professional	TC	$23.98	$43.33	$66.54