Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.09 / $46.95 / $61.41	Facility	26	$15.09	$46.95	$61.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $46.71 / $207.27	Professional		$33.04	$46.71	$207.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $15.09 / $45.50	Professional	26	$10.52	$15.09	$45.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.62 / $87.76	Professional	TC	$22.57	$31.62	$87.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $68.22 / $82.77	Professional		$43.26	$68.22	$82.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $19.37 / $24.76	Professional	26	$13.36	$19.37	$24.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.78 / $48.18 / $57.39	Professional	TC	$28.78	$48.18	$57.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $69.84 / $117.22	Professional		$51.71	$69.84	$117.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.27 / $18.78 / $31.00	Professional	26	$15.27	$18.78	$31.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.63 / $50.25 / $83.02	Professional	TC	$37.63	$50.25	$83.02
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $54.66 / $66.78	Professional		$44.86	$54.66	$66.78
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.83 / $15.20 / $27.87	Professional	26	$12.83	$15.20	$27.87
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $40.59 / $69.41	Professional	TC	$30.64	$40.59	$69.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $20.53 / $75.45	Professional		$12.90	$20.53	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $69.23 / $103.33	Professional		$41.70	$69.23	$103.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.65 / $19.89 / $30.36	Professional	26	$12.65	$19.89	$30.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $47.52 / $72.97	Professional	TC	$28.39	$47.52	$72.97