Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $33.88 / $39.81	Facility	26	$10.47	$33.88	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $162.18	Professional		$26.92	$42.66	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.48 / $29.51	Professional	26	$6.92	$11.48	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $70.79	Professional	TC	$19.95	$30.20	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $72.44	Professional		$33.88	$50.12	$72.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $17.38	Professional	26	$6.92	$11.75	$17.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $56.23	Professional	TC	$26.30	$37.15	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $109.65	Professional		$31.62	$51.29	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $19.95	Professional	26	$7.94	$12.02	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $85.11	Professional	TC	$22.39	$38.02	$85.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $53.70	Professional		$32.36	$39.81	$53.70
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.48 / $13.80	Professional	26	$7.76	$11.48	$13.80
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $50.12	Professional	TC	$25.12	$39.81	$50.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $60.26	Professional		$12.02	$15.85	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $74.13	Professional		$28.18	$43.65	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.00 / $16.60	Professional	26	$6.76	$10.00	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $58.88	Professional	TC	$21.88	$33.11	$58.88