Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $155.33 / $538.00	Facility		$37.71	$155.33	$538.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.84 / $34.86 / $41.02	Facility	26	$9.84	$34.86	$41.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.98 / $55.17 / $253.41	Facility	TC	$23.98	$55.17	$253.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $30.70 / $107.00	Professional		$15.92	$30.70	$107.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $13.32 / $51.06	Professional	26	$8.08	$13.32	$51.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.88 / $13.42 / $65.00	Professional	TC	$8.88	$13.42	$65.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $30.28 / $44.30	Facility		$21.12	$30.28	$44.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $34.15 / $41.63	Professional		$23.71	$34.15	$41.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $14.66 / $17.39	Professional	26	$7.59	$14.66	$17.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.63 / $19.50 / $28.06	Professional	TC	$15.63	$19.50	$28.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $78.91 / $108.62	Facility		$37.29	$78.91	$108.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $32.38 / $57.18	Professional		$23.47	$32.38	$57.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $12.42 / $20.20	Professional	26	$9.57	$12.42	$20.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.26 / $19.22 / $39.15	Professional	TC	$13.26	$19.22	$39.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $25.29 / $33.44	Professional		$20.46	$25.29	$33.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $9.90 / $18.05	Professional	26	$8.11	$9.90	$18.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $10.19 / $19.82 / $34.96	Professional	TC	$10.19	$19.82	$34.96
Health New England Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $169.97 / $246.43	Facility		$141.44	$169.97	$246.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $21.13 / $40.35	Professional		$12.18	$21.13	$40.35
United Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $35.60 / $56.62	Professional		$21.00	$35.60	$56.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $12.94 / $19.75	Professional	26	$8.02	$12.94	$19.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.81 / $23.24 / $35.90	Professional	TC	$13.81	$23.24	$35.90